MEDICARE: DR. DEBRA A NAYLOR 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
1	208000000X	Pediatrics Physician	L8145	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10043118	OTHER	TX	AMERIGROUP
2	1776676	OTHER	TX	MCAID GRP TX HEALTH STEPS
3	NAYD124988	OTHER	TX	CHIPS PROGRAM
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	0072NC	OTHER	TX	BCBS GROUP
6	8U6512	OTHER	TX	BCBS INDIVIDUAL

General Provider Information

NPI Number	:	1891791869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBRA A NAYLOR M.D.

Provider Business Mailing Address
First Line	:	3041 CHURCHILL DR
Second Line	:	SUITE #300
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-2706
Country	:	US
Telephone Number	:	972-691-1240
Fax Number	:	972-691-1240

Provider Business Practice Location Address
First Line	:	3041 CHURCHILL DR
Second Line	:	SUITE #300
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-2706
Country	:	US
Telephone Number	:	972-691-1240
Fax Number	:	972-691-2073

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

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	05/20/2014

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Directions to “ DR. DEBRA A NAYLOR M.D.” Practice Location

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