Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | D5229 | TX |
Y | 207XS0117X | Orthopaedic Spine Surgeon | D5229 | TX |
NPI | 1366440828 |
---|---|
Provider Name | Dr. William Peyton Taylor |
First Address | Austin, TX 78759-5295 |
Second Address | Austin, TX 78759-5295 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 16/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
134137208 | (05) | TX |
200019086 | MEDICARE RAILROAD (01) | |
C22512 | (02) |