Provider Demographics
NPI:1235920190
Name:HERMES, LEIGHANN LAYNE (DPT)
Entity type:Individual
Prefix:
First Name:LEIGHANN
Middle Name:LAYNE
Last Name:HERMES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:LEIGHANN
Other - Middle Name:LAYNE
Other - Last Name:PONDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2511 WILLOWICK RD APT 847
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-4079
Mailing Address - Country:US
Mailing Address - Phone:817-308-5092
Mailing Address - Fax:
Practice Address - Street 1:12921 MISTY WILLOW DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-5287
Practice Address - Country:US
Practice Address - Phone:281-469-7881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1393569208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation