Dr Robert Stanley Taylor Iii, MD | |
3535 N Fourth St Ste 400, Longview, TX 75605-0036 | |
(903) 757-3881 | |
(903) 757-5948 |
Full Name | Dr Robert Stanley Taylor Iii |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 39 Years |
Location | 3535 N Fourth St Ste 400, Longview, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760441893 | NPI | - | NPPES |
119053001 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | H0877 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wallis Dermatology Associates Pllc | 0749440188 | 9 |
Entity Name | Wallis Dermatology Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396945234 PECOS PAC ID: 0749440188 Enrollment ID: O20120322000343 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Stanley Taylor Iii, MD 3535 N Fourth St Ste 400, Longview, TX 75605-0036 Ph: (903) 757-3881 | Dr Robert Stanley Taylor Iii, MD 3535 N Fourth St Ste 400, Longview, TX 75605-0036 Ph: (903) 757-3881 |
Luke Stewart Wallis, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3535 N Fourth St Ste 400, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948 | |
Matthew Thomas Hoffmann, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1402 N 4th St, Longview, TX 75601 Phone: 903-757-8878 Fax: 903-757-5985 | |
Dr. Mark S Wallis, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3535 N Fourth St Ste 400, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948 | |
Laura Paul Fite, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3535 N Fourth St Ste 400, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948 | |
Dr. Donna Vu, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 6 Doctor Cir, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948 |