Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 06490 | NV |
N | 208D00000X | General Practice Physician | 4558049 | ZZ |
NPI | 1063784965 |
---|---|
Provider Name | Dr. Shirley Silvia Layton |
First Address | Mcallen, TX 78501-4500 |
Second Address | Mcallen, TX 78501-4500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2012 |
Last Update Date | 07/02/2012 |