Conchetta Taylor, is a
Licensed Practical Nurse based in San Augustine, Texas. Conchetta Taylor is licensed to practice in Texas (license number 349515) and her current practice location is
305 Ironosa St, San Augustine, Texas. She can be reached at her office (for appointments etc.) via phone at
(936) 201-9869.
NPI number for Conchetta Taylor is 1538714985 and her current mailing address is 305 Ironosa St, San Augustine, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538714985.
Provider's Profile
Full Name | Conchetta Taylor |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 305 Ironosa St, San Augustine, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538714985
- Provider Enumeration Date: 08/02/2019
- Last Update Date: 08/02/2019
Medical Identifiers
Medical identifiers for Conchetta Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538714985 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 349515 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Conchetta Taylor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Conchetta Taylor, 305 Ironosa St, San Augustine, TX 75972-1721 Ph: (936) 201-9869 | Conchetta Taylor, 305 Ironosa St, San Augustine, TX 75972-1721 Ph: (936) 201-9869 |
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