Most Relevant Information
Provider Data
| NPI Number: | 1003394792 |
| Provider Name: | TRACY DEE TAYLOR RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WH0200X |
| Specialty: | Registered Nurse |
| License Number: | 680771 |
Most Important Dates
| Enumeration Date: | 08/03/2018 |
| Last Updated: | 08/03/2018 |
Provider Practice Location
4500 BLUE STEM APT 24106
PROSPER
TX
750781777
Practice Location Phone/Fax
| Phone: | 4698161846 |
| Fax: |
Provider Mailing Location
4500 BLUE STEM APT 24106
PROSPER
TX
750781777
Provider Mailing Phone/Fax
| Phone: | 4698161846 |
| Fax: |