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Contact Information

JARED R TAYLOR, PA-C
1100 WILFORD HALL LOOP
SAN ANTONIO, TX78236
 Phone: 210-292-4774
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JARED R TAYLOR · (Male)

NPI # 1033359369
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/26/2009
Last updated 06/20/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NV License # FNP-363LF0000X
  • AZ Medicaid 414670
  • AZ Other 4378 ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS
  • NV Other PA1142 NEVADA BOARD OF MEDICAL EXAMINERS
  • NV Other CS22548 NEVADA STATE BOARD OF PHARMACY
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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