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NPI Code Detail

MEDICARE: MERCEDES TAYLOR PA

MEDICARE: MERCEDES 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
1363AM0700XMedical Physician AssistantTX

General Provider Information

NPI Number : 1750975348
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERCEDES TAYLOR PA
Provider Business Mailing Address
First Line : 829 W 22ND ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-1729
Country : US
Telephone Number : 832-266-7152
Fax Number :
Provider Business Practice Location Address
First Line : 1504 TAUB LOOP
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1608
Country : US
Telephone Number : 713-873-8890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2021
Last Update Date : 06/05/2026

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Directions to “ MERCEDES TAYLOR PA” Practice Location

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