Individual provider · Type 1 NPI
Ty M. Taylor, LSA, CSA, SA-C
Surgical Physician Assistant · San Antonio, TX
NPI number
1730223785
Active
Practice location
2915 W Bitters Rd
San Antonio, TX 78248-1689
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Assistant | 246ZC0007X | 3618 (KS) |
| Surgical Physician Assistant Primary | 363AS0400X | SA00570 (TX) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1730223785
Ty M. Taylor, LSA, CSA, SA-C's National Provider Identifier is 1730223785, issued on Feb 16, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Antonio, TX. The record was last updated on Dec 20, 2025.