NPI age
16 years
Enumerated 2010-02-18
● Active Type 2 · Organization
Dr. Roosevelt Taylor JR PA
Dr. Roosevelt Taylor JR PA is 1 of 4633 obstetrics & gynecology organizations in Texas.
Primary specialty
Obstetrics & Gynecology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Taylor
Phyician President
Last NPPES update
2010-02-18
Source: monthly bulk 2026-05
How this organization compares
Across 4633 active obstetrics & gynecology providers in Texas.
NPI age
16 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-02Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
9209 Elam Rd Ste 100
Dallas, TX 752177360
Mailing address
9209 Elam Rd Ste 100
Dallas, TX 752177360
Authorized official
Roosevelt Taylor, M.D.
Phyician President
📞 2143913700
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Roosevelt Taylor, MD Obstetrics & Gynecology NPI 1659449288
Specialties
-
Obstetrics & Gynecology PrimaryAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 121397702 | |
| 01 (TX) | 10029783 | MEDICAID AMERIGOUP HMO |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.