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General NPI Number Information
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NPI Number | 1770882508
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Entity Type | Individual
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Provider Name | REON RAYMOND BAILEY D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/18/2011
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 4606 CENTERVIEW STE 165
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City | SAN ANTONIO
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State | TX
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Zip | 78228-1203
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Country | US
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Telephone | 985-212-9185
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Fax | 210-664-5283
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Provider Business Mailing Address
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Address Line | 6222 SUNSET HAVEN ST
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City | SAN ANTONIO
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State | TX
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Zip | 78249-2420
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Country | US
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Telephone | 985-212-9185
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Fax | 210-664-5283
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1586
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 11719
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License Number State | TX
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