| Jared Ross Taylor, PA-C | |
|
1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 | |
| (210) 292-4774 | |
| Not Available |
| Full Name | Jared Ross Taylor |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1100 Wilford Hall Loop, Jbsa Lackland, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033359369 | NPI | - | NPPES |
| 4378 | Other | AZ | ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS |
| CS22548 | Other | NV | NEVADA STATE BOARD OF PHARMACY |
| 414670 | Medicaid | AZ | |
| PA1142 | Other | NV | NEVADA BOARD OF MEDICAL EXAMINERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | FNP-363LF0000X (Nevada) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Ross Taylor, PA-C 4755 W Ann Rd, North Las Vegas, NV 89031-3424 Ph: (702) 645-0332 | Jared Ross Taylor, PA-C 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Ph: (210) 292-4774 |
Aaron Caldwell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-7809 | |
Glen M. Robinson, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sg, Jbsa Lackland, TX 78236 Phone: 210-292-7447 | |
Minh Tran, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-0515 | |
Ms. Chanise Cyrus, PA-C, DSC, MPAS Physician Assistant Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-4277 | |
Dr. Mary A Webb, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 Phone: 210-565-4112 | |
Ifeanyi Nelson Eke, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-7348 |