Healthcare Provider Details
I. General information
NPI: 1174882278
Provider Name (Legal Business Name): LAYFIELD MEDICAL SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/09/2012
Last Update Date: 05/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2210 SILVER SAGE DR
HOUSTON TX
77077-6131
US
IV. Provider business mailing address
2210 SILVER SAGE DR
HOUSTON TX
77077-6131
US
V. Phone/Fax
- Phone: 713-208-1118
- Fax: 281-759-0074
- Phone: 713-208-1118
- Fax: 281-759-0074
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | 109789 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XE0001X |
| Taxonomy | Environmental Modification Occupational Therapist |
| License Number | 109789 |
| License Number State | TX |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XF0002X |
| Taxonomy | Feeding, Eating & Swallowing Occupational Therapist |
| License Number | 109789 |
| License Number State | TX |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XL0004X |
| Taxonomy | Low Vision Occupational Therapist |
| License Number | 109789 |
| License Number State | TX |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XN1300X |
| Taxonomy | Neurorehabilitation Occupational Therapist |
| License Number | 109789 |
| License Number State | TX |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XP0019X |
| Taxonomy | Physical Rehabilitation Occupational Therapist |
| License Number | 109789 |
| License Number State | TX |
| # 7 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225XP0200X |
| Taxonomy | Pediatric Occupational Therapist |
| License Number | 109789 |
| License Number State | TX |
VIII. Authorized Official
Name: MR.
DAVID
EDWARDS
LAYFIELD
Title or Position: OWNER
Credential: OTR
Phone: 713-208-1118