MEDICARE: DR. TAYLOR BOYD STRANGE D.O.

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	207W00000X	Ophthalmology Physician	P9009	TX

General Provider Information

NPI Number	:	1023336633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAYLOR BOYD STRANGE D.O.

Provider Business Mailing Address
First Line	:	9429 N BEACH ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-9059
Country	:	US
Telephone Number	:	817-442-2020
Fax Number	:	682-499-3856

Provider Business Practice Location Address
First Line	:	9429 N BEACH ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-9059
Country	:	US
Telephone Number	:	817-442-2020
Fax Number	:	682-499-3856

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

Provider Enumeration Date	:	05/06/2010
Last Update Date	:	03/21/2023

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