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NPI Code Detail

MEDICARE: ROGER Z TAYLOR M.D.

MEDICARE:   ROGER Z TAYLOR  M.D.
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
1174400000XSpecialistD9042TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01330137OTHERRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1861452583
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROGER Z TAYLOR M.D.
Provider Business Mailing Address
First Line : 4090 MAPLESHADE LN STE 100
Second Line :
City : PLANO
State : TX
Zip : 75093-0025
Country : US
Telephone Number : 972-986-5524
Fax Number :
Provider Business Practice Location Address
First Line : 4090 MAPLESHADE LN STE 100
Second Line :
City : PLANO
State : TX
Zip : 75093-0025
Country : US
Telephone Number : 972-986-5524
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2006
Last Update Date : 02/24/2023

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Directions to “ ROGER Z TAYLOR M.D.” Practice Location

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