Provider Demographics
NPI:1144626060
Name:ERNEST G. LAYTON JR. MD PA
Entity type:Organization
Organization Name:ERNEST G. LAYTON JR. MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:GAILE
Authorized Official - Last Name:LAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-337-5277
Mailing Address - Street 1:929 GESSNER RD
Mailing Address - Street 2:2200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2515
Mailing Address - Country:US
Mailing Address - Phone:713-337-5277
Mailing Address - Fax:713-337-5281
Practice Address - Street 1:929 GESSNER RD
Practice Address - Street 2:2200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2515
Practice Address - Country:US
Practice Address - Phone:713-337-5277
Practice Address - Fax:713-337-5281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1106261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical