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General NPI Number Information
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NPI Number | 1083621684
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Entity Type | Individual
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Provider Name | ERNEST G LAYTON JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 251 CULLY DR SUITE A
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City | KERRVILLE
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State | TX
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Zip | 78028-6083
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Country | US
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Telephone | 830-792-3702
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Fax | 830-792-3703
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Provider Business Mailing Address
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Address Line | 929 GESSNER RD SUITE 2200
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City | HOUSTON
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State | TX
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Zip | 77024-4045
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Country | US
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Telephone | 713-337-5277
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Fax | 713-337-5281
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | J1106
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License Number State | TX
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