NPI 1003496811

Taylor James Overton, MATLATATC

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Lubbock, TX

Practice location

Address: 2621 Drive of Champions, Lubbock, TX 79414
Phone: (972) 775-0519
Mailing address: 4824 72nd St, Lubbock, TX 79424-2102

Registered specialties

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence AT6556 (TX)

Other Physical Medicine & Rehabilitation providers in Texas →

Registry record

NPI: 1003496811
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2021
Record last updated: 14 Apr 2021

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.