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LUIS GLENN TAYLOR M.D. P.A. NPI 1457585960


NPI Information

NPI: 1457585960
Provider Name: LUIS GLENN TAYLOR, M.D., P.A.

Doing Business As: TLC PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D1057911

Address:
740 HOSPITAL DR
SUITE 160
BEAUMONT, TX
ZIP 77701
Phone: (409) 832-6188
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LUIS GLENN TAYLOR, M.D., P.A. is a pediatrics in Beaumont, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. LUIS GLENN TAYLOR, M.D., P.A. NPI is 1457585960. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tlc Pediatrics.

The provider's business location address is:

740 HOSPITAL DR
SUITE 160
BEAUMONT, TX
ZIP 77701-664
Phone: (409) 832-6188
Fax: (409) 839-4760

The provider's authorized official is Luis Glenn Taylor Glenn Taylor .
The authorized official title is Owner/president and has the following contact phone number (409) 832-6188.

The CLIA number assigned to this NPI record is 45D1057911 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2009 and was last updated on 5/12/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsJ8394TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1130575703MEDICAIDTEXAS

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: 11/14/2023

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