Individual
JOAN M. LAYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8440 WALNUT HILL LN STE 600, DALLAS, TX 75231-3824
(214) 345-5999
(214) 345-5988
Mailing address
PO BOX 975341, DALLAS, TX 75397-5341
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01419
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180892501
—
TX
01
—
82N843
BLUE CROSS BLUE SHIELD
TX
01
—
P00049542
RAILROAD MEDICARE
TX
Enumeration date
12/07/2005
Last updated
01/15/2019
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