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NPI Code Detail

MEDICARE: TAYLOR VINCENT DARTEZ

MEDICARE: TAYLOR VINCENT DARTEZ
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
1183500000XPharmacist76798TX

General Provider Information

NPI Number : 1467396432
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR VINCENT DARTEZ
Provider Business Mailing Address
First Line : 13515 WEST AVE APT 437
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-2084
Country : US
Telephone Number : 210-875-7332
Fax Number :
Provider Business Practice Location Address
First Line : 7208 FM 78
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78244-1766
Country : US
Telephone Number : 210-666-0162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2026
Last Update Date : 04/17/2026

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Directions to “ TAYLOR VINCENT DARTEZ ” Practice Location

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