Provider Demographics
NPI:1194970434
Name:GIST, TAYLOR LEE (MD)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:LEE
Last Name:GIST
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6560 FANNIN ST
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2761
Mailing Address - Country:US
Mailing Address - Phone:713-790-1211
Mailing Address - Fax:713-799-1749
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:SUITE 1200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-790-1211
Practice Address - Fax:713-799-1749
Is Sole Proprietor?:No
Enumeration Date:2008-12-01
Last Update Date:2020-03-12
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Provider Licenses
StateLicense IDTaxonomies
TXQ2898207T00000X, 207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery