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General NPI Number Information
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NPI Number | 1144626060
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Entity Type | Organization
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Legal Business Name | ERNEST G. LAYTON JR. MD PA
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Dates
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Enumeration Date | 11/05/2014
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Last Update Date | 11/05/2014
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Provider Practice Location Address
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Address Line | 929 GESSNER RD 2200
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City | HOUSTON
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State | TX
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Zip | 77024-2515
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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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Provider Business Mailing Address
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Address Line | 929 GESSNER RD 2200
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City | HOUSTON
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State | TX
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Zip | 77024-2515
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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 | BUSINESS MANAGER
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Name | MRS. HEATHER GAILE LAYTON
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Credential |
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Telephone | 713-337-5277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | J1106
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License Number State | TX
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