Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NP0017X | Pediatric Chiropractor | 13858 | TX |
NPI | 1639749690 |
---|---|
Provider Name | Dr. Rachel M Taylor |
First Address | San Antonio, TX 78215-1392 |
Second Address | San Antonio, TX 78216-3107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2021 |
Last Update Date | 30/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13858 | DC (01) | TX |