Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | S3758 | TX |
N | 207VX0000X | Obstetrician | 022782 | LA |
NPI | 1104926112 |
---|---|
Provider Name | Dr. Alicia C Taylor |
First Address | Houston, TX 77024-2301 |
Second Address | Katy, TX 77494-0882 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 25/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1482102 | (05) | LA |
H02584 | (02) | LA |