| Doctor Name: | DR. BEATRICE TAYLOR |
| NPI Number: | 1063772440 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | Q2075 |
| Business Practice Address: | 657 E Travis St Ste A La Grange, TX - 789452304 |
| Business Phone Number: | 9794847120 |
| Business Fax Number: | 9798597121 |
| Mailing Address: | 657 E Travis St Ste A, LA GRANGE |
| State: | TX |
| Postal Code: | 789452304 |
| Phone Number: | 9794847120 |
| Fax Number: | 9798597121 |
| NPI Enumeration Date: | 05/20/2012 |
| NPI Last Update Date: | 03/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | Q2075 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |