Most Relevant Information
Provider Data
| NPI Number: | 1003496811 |
| Provider Name: | TAYLOR JAMES OVERTON MAT, LAT, ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2081S0010X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | AT6556 |
Most Important Dates
| Enumeration Date: | 04/14/2021 |
| Last Updated: | 04/14/2021 |
Provider Practice Location
2621 DRIVE OF CHAMPIONS
LUBBOCK
TX
79414
Practice Location Phone/Fax
| Phone: | 9727750519 |
| Fax: |
Provider Mailing Location
4824 72ND ST
LUBBOCK
TX
794242102
Provider Mailing Phone/Fax
| Phone: | 9729219877 |
| Fax: |