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NPI Code Detail

MEDICARE: DR. TAYLOR POPE BASKIN MD

MEDICARE: DR. TAYLOR POPE BASKIN MD
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
12084P0800XPsychiatry PhysicianU3154TX

General Provider Information

NPI Number : 1356906440
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAYLOR POPE BASKIN MD
Provider Business Mailing Address
First Line : 12221 RENFERT WAY STE 250
Second Line :
City : AUSTIN
State : TX
Zip : 78758-5657
Country : US
Telephone Number : 512-814-8255
Fax Number :
Provider Business Practice Location Address
First Line : 12221 RENFERT WAY STE 250
Second Line :
City : AUSTIN
State : TX
Zip : 78758-5657
Country : US
Telephone Number : 512-814-8255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2019
Last Update Date : 12/03/2024

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