MEDICARE: EMMA CLAIRE TAYLOR SPT

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	390200000X	Student in an Organized Health Care Education/Training Program		TX

General Provider Information

NPI Number	:	1659216372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA CLAIRE TAYLOR SPT

Provider Business Mailing Address
First Line	:	1620 NW 182ND ST
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73012-4161
Country	:	US
Telephone Number	:	405-696-8816
Fax Number	:

Provider Business Practice Location Address
First Line	:	1325 PINE ST
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79601-3552
Country	:	US
Telephone Number	:	325-670-5860
Fax Number	:

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

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “ EMMA CLAIRE TAYLOR SPT” Practice Location

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