Luis Glenn Taylor, M.D., P.A.
Pediatrics in Beaumont, TX. Organization (NPI-2).
NPI number1457585960
StatusActive
Last updated in NPPESMay 12, 2009
Details
- NPI
- 1457585960
- Entity type
- Organization (NPI-2)
- Legal business name
- Luis Glenn Taylor, M.D., P.A.
- Organization subpart
- No
- Enumeration date
- May 12, 2009
- Last updated
- May 12, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | J8394 | TX | Yes |
Other names
- Tlc Pediatrics (Doing Business As)
Practice location
740 Hospital DrSuite 160
Beaumont, TX 77701-4664
Phone 409-832-6188 · Fax 409-839-4760
Mailing address
740 Hospital DrSuite 160
Beaumont, TX 77701-4664
Phone 409-832-6188 · Fax 409-839-4760
Authorized official
Luis Glenn Taylor Glenn Taylor
Owner/President
4098326188
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