Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keandre Taylor

Individual provider Physician Assistant · NPI 1851115448

Keandre Taylor is a Physician Assistant in Dallas, Texas. Qualified in 2024, 2 years ago. Practices with Physician Associates of Southwest Dallas, a 37-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

122 W Colorado Blvd
Dallas, TX 75208-2382
Phone: (214) 947-6700
Fax: (214) 947-6701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA18760 (TX)
Physician Assistant Taxonomy 363A00000X · Licence 1216468 (TX)

Record details

NPI number1851115448
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 11, 2024
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address122 W Colorado Blvd, Dallas, TX 75208-2382

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Physician Associates Of Southwest Dallas — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Dallas