MEDICARE: DR. KRISTEN ELISE TAYLOR DO.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	R7123	TX
2	2081P0010X	Pediatric Rehabilitation Medicine Physician	BP10058779	TX
3	2081P0010X	Pediatric Rehabilitation Medicine Physician	R7123	TX
4	390200000X	Student in an Organized Health Care Education/Training Program

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154758845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTEN ELISE TAYLOR DO.

Provider Business Mailing Address
First Line	:	400 E JOHN CARPENTER FWY
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-3955
Country	:	US
Telephone Number	:	214-763-3863
Fax Number	:	214-764-9939

Provider Business Practice Location Address
First Line	:	400 E. JOHN CARPENTER FWY
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062
Country	:	US
Telephone Number	:	214-919-7763
Fax Number	:	214-764-9939

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2013
Last Update Date	:	01/13/2026

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Directions to “ DR. KRISTEN ELISE TAYLOR DO.” Practice Location

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