| NPI | 1679665244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY N TAYLOR Facep 210-614-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2009-05-19 |