Individual
LAYNE O. GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6624 FANNIN ST, SUITE 1450, HOUSTON, TX 77030-2312
(713) 383-6882
(713) 799-9917
Mailing address
6624 FANNIN ST, SUITE 1450, HOUSTON, TX 77030-2312
(713) 383-6882
(713) 799-9917
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
E1588
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004406874
AETNA
TX
05
—
100114101
—
TX
01
—
440000033
MEDICARE RR
TX
01
—
89C791
BLUE CROSS
TX
Enumeration date
12/22/2006
Last updated
07/20/2010
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