Provider Demographics
NPI:1598256083
Name:TAYLOR, ANDRE JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDRE
Middle Name:JOSEPH
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3230 S EISENHOWER PKWY
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-7818
Mailing Address - Country:US
Mailing Address - Phone:903-892-3471
Mailing Address - Fax:903-893-2745
Practice Address - Street 1:2021 N HERITAGE PARKWAY
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-7509
Practice Address - Country:US
Practice Address - Phone:903-892-3471
Practice Address - Fax:903-893-2745
Is Sole Proprietor?:No
Enumeration Date:2018-05-21
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13821111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor