Individual
GERALD NICHOLAS TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-3400
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-3400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
L4748
TX
2083C0008X
Clinical Informatics Physician
L4748
TX
2083X0100X
Occupational Medicine Physician
Primary
L4748
TX
Other
Enumeration date
12/12/2005
Last updated
03/03/2025
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