Healthcare Provider Details

I. General information

NPI: 1023696598
Provider Name (Legal Business Name): TAYLER DAWN PARKER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20311 KUYKENDAHL RD
SPRING TX
77379-5495
US

IV. Provider business mailing address

6655 TRAVIS ST STE 700
HOUSTON TX
77030-1316
US

V. Phone/Fax

Practice location:
  • Phone: 832-717-3376
  • Fax: 832-717-0004
Mailing address:
  • Phone: 713-500-8260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberV8720
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: