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NPI Code Detail

MEDICARE: SHEILA RENEE LAYNE DO

MEDICARE: SHEILA RENEE LAYNE DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianN0914TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00962624OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28CL777OTHERTXBCBS

General Provider Information

NPI Number : 1164750543
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA RENEE LAYNE DO
Provider Business Mailing Address
First Line : 2017 RICKETY LN
Second Line :
City : TYLER
State : TX
Zip : 75703-1706
Country : US
Telephone Number : 903-533-8811
Fax Number : 903-593-5511
Provider Business Practice Location Address
First Line : 2017 RICKETY LN
Second Line :
City : TYLER
State : TX
Zip : 75703-1706
Country : US
Telephone Number : 903-533-8811
Fax Number : 903-593-5511
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2009
Last Update Date : 04/18/2012

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Directions to “ SHEILA RENEE LAYNE DO” Practice Location

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