| Taylor Family Practice, Pa | |
|
2665 Royal Forest Dr. Suite B-150 Kingwood TX 77339-5045 | |
| (281) 359-4220 | |
| (281) 359-4208 |
| Full Name | Taylor Family Practice, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2665 Royal Forest Dr., Kingwood, Texas |
| Authorized Official Name and Position | Robin Ward (BILLING MANAGER) |
| Authorized Official Contact | 2813594220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Family Practice, Pa 2665 Royal Forest Dr. Suite B-150 Kingwood TX 77339-5045 Ph: (281) 359-4220 | Taylor Family Practice, Pa 2665 Royal Forest Dr. Suite B-150 Kingwood TX 77339-5045 Ph: (281) 359-4220 |
| NPI Number | 1659560944 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 10/01/2012 |
| Medicare PECOS PAC ID | 4789661018 |
|---|---|
| Medicare Enrollment ID | O20040702001110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659560944 | NPI | - | NPPES |
| 8M1980 | Other | TX | BCBS |
| 0049DF | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K2296 (Texas) | Primary |
| Provider Name | Jill A Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912012832 PECOS PAC ID: 4688651912 Enrollment ID: I20040707001006 |
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