Individual provider · Type 1 NPI
Tayloe Douglas
Student in an Organized Health Care Education/Training Program · Tomball, TX
NPI number
1861861635
Active
Practice location
15451 Kenny Drive
Tomball, TX 77377
Mailing address
15415 Kenny Dr
Tomball, TX 77377-8630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 35077658 (TX) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1861861635
Tayloe Douglas's National Provider Identifier is 1861861635, issued on Sep 22, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tomball, TX. The record was last updated on Sep 22, 2015.