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NPI Code Detail

MEDICARE: ALICIA TAYLOR OD

MEDICARE:   ALICIA  TAYLOR  OD
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
1152W00000XOptometrist11189TX

General Provider Information

NPI Number : 1912740549
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA TAYLOR OD
Provider Business Mailing Address
First Line : 150 FM 460 STE 100
Second Line :
City : FORNEY
State : TX
Zip : 75126-4432
Country : US
Telephone Number : 214-326-6542
Fax Number :
Provider Business Practice Location Address
First Line : 150 FM 460 STE 100
Second Line :
City : FORNEY
State : TX
Zip : 75126-4432
Country : US
Telephone Number : 214-326-6542
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2024
Last Update Date : 02/09/2026

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Directions to “ ALICIA TAYLOR OD” Practice Location

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