Provider Demographics
NPI:1770040677
Name:CLOY, TAYLOR LAYNE (APNP)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:LAYNE
Last Name:CLOY
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:CLOY
Other - Last Name:DOMINGUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4316 JAMES CASEY ST STE F-201
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1160
Mailing Address - Country:US
Mailing Address - Phone:512-266-3377
Mailing Address - Fax:512-328-2663
Practice Address - Street 1:1305 WONDER WORLD DR STE 100
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7502
Practice Address - Country:US
Practice Address - Phone:122-663-3775
Practice Address - Fax:512-328-2663
Is Sole Proprietor?:No
Enumeration Date:2019-02-27
Last Update Date:2023-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1032750363L00000X
WI9057363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner