NPI 1083935415

Flynn A. Taylor, M.D.,p.C.

Organisation Preferred Provider Organization Deridder, LA

Practice location

Address: 412 S Pine St, Deridder, LA 70634-4840
Phone: (337) 463-9890
Fax: (337) 462-9521

Authorised official

Name: Flynn a Taylor
Title: Medical Physician
Phone: (337) 463-9890

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 014367 (LA)

Other Preferred Provider Organization providers in Louisiana →

Registry record

NPI: 1083935415
Entity type: Organization
NPI issued: 21 Jun 2010
Record last updated: 21 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.