Provider Demographics
NPI:1992479638
Name:LAYMAN, TESS EMBREY (PA-C)
Entity type:Individual
Prefix:
First Name:TESS
Middle Name:EMBREY
Last Name:LAYMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:TESS
Other - Middle Name:
Other - Last Name:EMBREY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:1011 S. HARWOOD ST
Mailing Address - Street 2:UNIT 501
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201
Mailing Address - Country:US
Mailing Address - Phone:682-323-9973
Mailing Address - Fax:
Practice Address - Street 1:5959 HARRY HINES BLVD FL 9
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-6234
Practice Address - Country:US
Practice Address - Phone:214-645-6616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA14578363A00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical