Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 109789 | TX |
N | 225XF0002X | Feeding, Eating & Swallowing | 109789 | TX |
N | 2251H1300X | Human Factors | 109789 | TX |
N | 225XH1300X | Human Factors | 109789 | TX |
N | 225XL0004X | Low Vision | 109789 | TX |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 109789 | TX |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 109789 | TX |
N | 225XP0200X | Occupational Therapist - Pediatrics | 109789 | TX |
NPI | 1871784223 |
---|---|
Provider Name | Mr. David Edwards Layfield |
First Address | Houston, TX 77077-6131 |
Second Address | Houston, TX 77077-6131 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2007 |
Last Update Date | 05/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
140563101 | (05) | TX |