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NPI Code Detail

MEDICARE: RONEL LAYUGAN NP

MEDICARE: RONEL LAYUGAN NP
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
1363LA2100XAcute Care Nurse PractitionerAP140868TX

General Provider Information

NPI Number : 1144788480
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONEL LAYUGAN NP
Provider Business Mailing Address
First Line : 4560 LAKE RIDGE PKWY STE 110
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75052-1707
Country : US
Telephone Number : 972-522-7778
Fax Number :
Provider Business Practice Location Address
First Line : 4560 LAKE RIDGE PKWY STE 110
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75052-1707
Country : US
Telephone Number : 972-522-7778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2019
Last Update Date : 06/21/2023

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Directions to “ RONEL LAYUGAN NP” Practice Location

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