Provider Demographics
NPI:1134311400
Name:TAYLOR, JOSEPH OSCAR JR (APNFA)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:OSCAR
Last Name:TAYLOR
Suffix:JR
Gender:M
Credentials:APNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8522 BROADWAY STE 216
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-6456
Mailing Address - Country:US
Mailing Address - Phone:210-874-5260
Mailing Address - Fax:210-864-4838
Practice Address - Street 1:21038 US HIGHWAY 281 N STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-7556
Practice Address - Country:US
Practice Address - Phone:210-874-5260
Practice Address - Fax:210-864-4838
Is Sole Proprietor?:No
Enumeration Date:2007-08-10
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP115928363L00000X, 363LF0000X
TX654945163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2176653-03Medicaid
TX758659OtherMEDICARE PTAN
TX8206NL-SASAOtherBCBSTX
TX217665302-SASAMedicaid
TX11790127OtherCAQH
TX8206NLOtherBCBS (SASA)
TX11790127OtherCAQH
TX363654 ZKP8OtherSASA
TX363654 ZKP9OtherSASA
TXP01415800OtherSASA
TX8L12834Medicare PIN
TX363654ZKP9Medicare PIN