MEDICARE: MR. LAYNE VINCENT ORLANDO

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
1	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1558893388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LAYNE VINCENT ORLANDO

Provider Business Mailing Address
First Line	:	16005 LAKEVIEW DR
Second Line	:
City	:	JERSEY VILLAGE
State	:	TX
Zip	:	77040-2023
Country	:	US
Telephone Number	:	832-982-5689
Fax Number	:

Provider Business Practice Location Address
First Line	:	5511 DE MILO DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-4118
Country	:	US
Telephone Number	:	832-316-4352
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2017
Last Update Date	:	02/13/2025

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Directions to “ MR. LAYNE VINCENT ORLANDO ” Practice Location

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