MEDICARE: DR. SHARI LYN TAYLOR MD

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MD26678	TN
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	M9046	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770584674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARI LYN TAYLOR MD

Provider Business Mailing Address
First Line	:	PO BOX 840294
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-0294
Country	:	US
Telephone Number	:	888-344-1160
Fax Number	:	972-331-3148

Provider Business Practice Location Address
First Line	:	6655 N MACARTHUR BLVD
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75039
Country	:	US
Telephone Number	:	214-277-8700
Fax Number	:	901-526-0791

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	11/21/2013

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