Luis Glenn Taylor, M.D., P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J8394 Issued in TX

Legal business name

LUIS GLENN TAYLOR, M.D., P.A.

Practice address

740 Hospital Dr
Suite 160
Beaumont, TX 77701-4664

Phone

(409) 832-6188

Fax

(409) 839-4760

NPI assigned

May 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Luis Glenn Taylor Glenn Taylor, M.D.

Title

Owner/President

Phone

(409) 832-6188

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TLC Pediatrics Doing business as

Locations

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1457585960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 HOSPITAL DR",
            "address_2": "SUITE 160",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014664",
            "telephone_number": "409-832-6188",
            "fax_number": "409-839-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 HOSPITAL DR",
            "address_2": "SUITE 160",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014664",
            "telephone_number": "409-832-6188",
            "fax_number": "409-839-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS GLENN TAYLOR, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LUIS GLENN TAYLOR",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "409-832-6188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J8394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130575703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cristal Lozano, PHARMD
• Shannon Dean Lucas, FNP
• Julia Therese Luchini
• Marisa Luevano Diaz
• Luis G. Taylor, M.D. PLLC
• Harrison Daniel Luke, D.D.S.
• Julie Symons Luke, LCSW LPC
• L Denise Sarver Lumpkin, FNP
• Peyton Marie Lumpkin
• Susan J Lundy, NP

• Pediatrics Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.