Isaac Ray Taylor
Individual provider Active NPI Driver · Splendora, TX
NPI 1295530905 · NPPES record last updated Feb 17, 2025
Key facts
- NPI
- 1295530905
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 44011389 (TX)
- Practice address
- 27452 Diamond T
Splendora, TX 77372-4403 - Phone
- (832) 488-2791
- NPI assigned
- Feb 17, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44011389 | TX | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 44011389 | TX | Yes |
Addresses
Primary practice location
27452 Diamond T
Splendora, TX 77372-4403
Mailing address
27452 Diamond T
Splendora, TX 77372-4403
Phone (832) 488-2791
Other providers in Splendora, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.