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NPI Code Detail

MEDICARE: BOBBIE JEAN TAYLOR BHWC

MEDICARE:   BOBBIE JEAN TAYLOR  BHWC
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1184191926
Entity Type Code : Individual
Provider Name (Legal Business Name) : BOBBIE JEAN TAYLOR BHWC
Provider Business Mailing Address
First Line : 2044 WESTBURY DR
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73130-8209
Country : US
Telephone Number : 813-368-3208
Fax Number :
Provider Business Practice Location Address
First Line : 2044 WESTBURY DR
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73130-8209
Country : US
Telephone Number : 813-368-3208
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2018
Last Update Date : 10/30/2018

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Directions to “ BOBBIE JEAN TAYLOR BHWC” Practice Location

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