Healthcare Provider Details

I. General information

NPI: 1265587984
Provider Name (Legal Business Name): TAYLOR DRUG DBA TAYLOR MEDICAL EQUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 11/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6020 S MEMORIAL DR
TULSA OK
74145-9005
US

IV. Provider business mailing address

201 S SUMMIT ST
ARKANSAS CITY KS
67005-2846
US

V. Phone/Fax

Practice location:
  • Phone: 620-442-3500
  • Fax:
Mailing address:
  • Phone: 620-442-3500
  • Fax: 620-442-2184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. FRED D. TAYLOR
Title or Position: OWNER
Credential:
Phone: 620-442-3500