Taylor Mark Herzog, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

R9499 Issued in TX

Practice address

3500 Oak Lawn Ave Ste 300
Dallas, TX 75219

Phone

(469) 766-7046

NPI assigned

Jun 17, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Taylor M. Herzog, M.D., PLLC

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1336792506
  NPD Authorized official

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1780065565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 OAKCREST RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752483853",
            "telephone_number": "214-796-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 OAK LAWN AVE STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75219",
            "telephone_number": "469-766-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZOG",
        "first_name": "TAYLOR",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "R9499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herzog Oaklawn PLLC
• Herzog Preston Royal PLLC
• Herzog Uptown PLLC
• Clint F Herzog, D.D.S.
• Steven Paul Herzog, M.D.
• Ryan Thomas Heslin, MD
• Alexis Hess
• Janet Elizabeth Hess, PA-C, ATC, LAT
• Kelly C Hess, LPC ASSOCIATE
• Bret Hesseltine, M.D.

• Psychiatry Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.