Individual
SHEILA RENEE LAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2017 RICKETY LN, TYLER, TX 75703-1706
(903) 533-8811
(903) 593-5511
Mailing address
2017 RICKETY LN, TYLER, TX 75703-1706
(903) 533-8811
(903) 593-5511
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N0914
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215845301
—
TX
01
—
8CL777
BCBS
TX
01
—
P00962624
RAILROAD MEDICARE
TX
Enumeration date
11/24/2009
Last updated
04/18/2012
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