Individual
REGGIE Q TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO, MA
Contact information
Practice address
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(253) 968-1110
Mailing address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(210) 608-9548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
U3368
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/30/2021
Last updated
09/10/2025
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