TAYLOR TORRENCE TEAGUE NPI 1578983128

NPI Information

NPI: 1578983128
Provider Name: TAYLOR TORRENCE TEAGUE
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

PECOS Registration: Yes

Address:
11937 US HIGHWAY 271
TYLER, TX
ZIP 75708
Phone: (903) 877-7200
Get Directions

Taylor Torrence Teague is a clinical genetics (m.d.) medical genetics in Tyler, TX with 10 years of experience. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. Taylor Torrence Teague NPI is 1578983128. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year:2014

The provider's business location address is:

11937 US HIGHWAY 271
TYLER, TX
ZIP 75708-154
Phone: (903) 877-7200

The NPI 1578983128 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/22/2014 and was last updated on 2/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0200X	Internal Medicine	Critical Care Medicine	R1140	TEXAS	No
2	207R00000X	Internal Medicine		R1140	TEXAS	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	R1140	TEXAS	No
4	207RS0012X	Internal Medicine	Sleep Medicine	R1140	TEXAS	No
5	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	R1140	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	375476402	MEDICAID	TEXAS
2	375476401	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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