MEDICARE: MS. PATRICIA LYNN TAYLOR L.P.C.

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	101Y00000X	Counselor	17488	TX

General Provider Information

NPI Number	:	1427111061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATRICIA LYNN TAYLOR L.P.C.

Provider Business Mailing Address
First Line	:	3625 MANCHACA RD
Second Line	:	SUITE 103
City	:	AUSTIN
State	:	TX
Zip	:	78704-6631
Country	:	US
Telephone Number	:	512-922-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3625 MANCHACA RD
Second Line	:	SUITE 103
City	:	AUSTIN
State	:	TX
Zip	:	78704-6631
Country	:	US
Telephone Number	:	512-922-4000
Fax Number	:

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

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	06/03/2009

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