Provider Demographics
NPI:1063784965
Name:LAYTON, SHIRLEY SILVIA (NP)
Entity type:Individual
Prefix:DR
First Name:SHIRLEY
Middle Name:SILVIA
Last Name:LAYTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:DR
Other - First Name:SHIRLEY
Other - Middle Name:SILVIA
Other - Last Name:BARBOSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD (MX)
Mailing Address - Street 1:504 N 10TH ST STE B14
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-4500
Mailing Address - Country:US
Mailing Address - Phone:956-631-1664
Mailing Address - Fax:956-631-1664
Practice Address - Street 1:504 N 10TH ST STE B14
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-4500
Practice Address - Country:US
Practice Address - Phone:956-631-1664
Practice Address - Fax:956-631-1664
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV06490175F00000X
ZZ4558049208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice