| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TAYLOR BOAGNI | 1053096842 | 2024-10-13 |
Taylor Boagni is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1053096842. Registration indicates Taylor Boagni is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )
| Entity Type | Individual |
| Provider Name | Taylor Boagni PA-C |
| Practice Office Address | 3720 WESTHEIMER RD STE 650 HOUSTON, TX US |
| Practice Office Telephone | 7133013551 |
| Mailing Address | 106 TOWNE RD LAFAYETTE, LA 705086437 US |
| Business Telephone | 3373517693 |
| Code | Practice | License No State |
|---|---|---|
| 363AM0700X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | PA17271
TX |