Organization Active NPI

Taylor Family Clinic, PLLC

  • General Practice Physician
  • La Grange, TX
National Provider Identifier
1326405085
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
Q2075 Issued in TX
Legal business name
TAYLOR FAMILY CLINIC, PLLC
Practice address
657 E Travis St
Ste a
La Grange, TX 78945-2302
Phone
(979) 484-7120
Fax
(979) 859-7121
NPI assigned
Jan 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Beatrice V Taylor, DO
Title
DO
Phone
(979) 484-7120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Q2075 TX Primary

Addresses

Primary practice location

657 E Travis St
Ste a
La Grange, TX 78945-2302

Mailing address

657 E Travis St
Suite a
La Grange, TX 78945-2302
Phone (979) 484-7120

National Provider Directory

National Provider Directory

Locations

657 E Travis St
Ste A
La Grange, TX 78945
Phone (970) 484-7120

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1326405085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 E TRAVIS ST",
            "address_2": "SUITE A",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789452302",
            "telephone_number": "979-484-7120",
            "fax_number": "979-859-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 E TRAVIS ST",
            "address_2": "STE A",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789452302",
            "telephone_number": "979-484-7120",
            "fax_number": "979-859-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR FAMILY CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "979-484-7120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "Q2075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.