Zachary Taylor CRNA

NPI 1407164213 - Registered Nurse - 163W00000X

NPI Details
NPI 1407164213
Gender Male
Enumeration Date 09/15/2010
Last Updated 09/15/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
FORT WORTH TX, 76109-4415, US
Phone (800) 480-1819
Fax (817) 877-0350
Business Location
PO BOX 50667
AMARILLO TX, 79159-0667, US
Phone (800) 480-1819
Fax (817) 877-0350
Taxonomy Code 163W00000X
License State Texas
License Number 790735
Remove 1407164213 NPI Number

According to our database, Zachary Taylor CRNA NPI is 1407164213, taxonomy code is 163W00000X and license number is 790735, license state is located at Texas. Zachary Taylor CRNA physically located at 4916 Overton Plz, Fort Worth TX, 76109-4415. NPI Number Zachary Taylor CRNA has the Individual type.

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1407164213 NPI number is provided on an as is basis without warranty of any kind. 1407164213 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Taylor CRNA are for informational purposes only.