MEDICARE: TAYLOR LEIGH DEAN

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	207Q00000X	Family Medicine Physician	948967	TX

General Provider Information

NPI Number	:	1366377905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR LEIGH DEAN

Provider Business Mailing Address
First Line	:	2225 N 43RD ST
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76710-2016
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2225 N 43RD ST
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76710-2016
Country	:	US
Telephone Number	:	254-495-6020
Fax Number	:

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

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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Directions to “ TAYLOR LEIGH DEAN ” Practice Location

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