Provider Demographics
NPI:1902524150
Name:VALENTIN, TAYLOR F (BS)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:F
Last Name:VALENTIN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 BOBCAT WAY
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-8033
Mailing Address - Country:US
Mailing Address - Phone:512-716-2624
Mailing Address - Fax:512-716-2814
Practice Address - Street 1:200 BOBCAT WAY
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-8033
Practice Address - Country:US
Practice Address - Phone:512-716-2624
Practice Address - Fax:512-716-2814
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program