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Individual

LANOARD BAYOUTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6250 REGIONAL PLZ, SUITE 1010, ABILENE, TX 79606-5262
(325) 428-5550
(325) 428-5519
Mailing address
1680 ANTILLEY RD, STE. 270, ABILENE, TX 79606-5267
(325) 437-5555
(325) 437-5556

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H5506
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171491701
TX
Enumeration date
04/13/2006
Last updated
07/25/2013
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