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NPI Code Detail

MEDICARE: ELEAINE TAYLOR PA

MEDICARE:   ELEAINE  TAYLOR  PA
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
1363A00000XPhysician Assistant14267227-1206UT
2363A00000XPhysician AssistantPA15513TX

General Provider Information

NPI Number : 1750037073
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELEAINE TAYLOR PA
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1005 E NOLANA AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78504-6101
Country : US
Telephone Number : 956-686-6510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2022
Last Update Date : 04/14/2026

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Directions to “ ELEAINE TAYLOR PA” Practice Location

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