| Taylor Beach Club | |
|
204 W 19th St Mt Pleasant TX 75455-2320 | |
| (903) 572-4141 | |
| (972) 596-9747 |
| Full Name | Taylor Beach Club |
|---|---|
| Speciality | Dentist |
| Location | 204 W 19th St, Mt Pleasant, Texas |
| Authorized Official Name and Position | Jesse Martin Taylor (SOLE MEMBER) |
| Authorized Official Contact | 9725190990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Beach Club 204 W 19th St Mt Pleasant TX 75455-2320 Ph: (903) 572-4141 | Taylor Beach Club 204 W 19th St Mt Pleasant TX 75455-2320 Ph: (903) 572-4141 |
| NPI Number | 1720499189 |
|---|---|
| Provider Enumeration Date | 05/19/2014 |
| Last Update Date | 05/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720499189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 15101 (Texas) | Primary |
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Shahid Dental Group Mt. Pleasant, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 W 19th St, Mt Pleasant, TX 75455 Phone: 903-572-4141 |