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

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