Most Relevant Information
Provider Data
| NPI Number: | 1003312828 |
| Provider Name: | MALLORY MICHELLE TAYLOR PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/02/2018 |
| Last Updated: | 05/04/2020 |
Provider Practice Location
9301 N CENTRAL EXPY STE 500
DALLAS
TX
752310805
Practice Location Phone/Fax
| Phone: | 2142202468 |
| Fax: | 2147201982 |
Provider Mailing Location
9301 N CENTRAL EXPY STE 500
DALLAS
TX
752310805
Provider Mailing Phone/Fax
| Phone: | 2142202468 |
| Fax: | 2147201982 |