Mark B Layman, M.D.
Individual provider Active NPI Internal Medicine Physician · Seminole, TX
NPI 1790789303 · NPPES record last updated Jun 28, 2010
Key facts
- NPI
- 1790789303
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- K9104 (TX)
- Practice address
- 208 NW 8TH St
Ste 1
Seminole, TX 79360-3448 - Phone
- (432) 758-6363
- Fax
- (432) 758-6550
- NPI assigned
- Jun 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101227000277 | TX | Practitioner - Internal Medicine | 7416145016 | Practice locations: Seminole, TX |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K9104 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seminole Hospital District of Gaines County Texas | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K9104 | TX | Yes |
Addresses
Primary practice location
208 NW 8TH St
Ste 1
Seminole, TX 79360-3448
Mailing address
PO Box 836
Loop, TX 79342-0836
Phone (806) 487-6480
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 096903202 | Medicaid | TX | |
| 0047DY | Other | TX | BCBS OF TEXAS |
| 121479 | Other | TX | CHIPS NUMBER |
| 117485100 | Other | TX | FIRSTCARE ID |
Other providers in Seminole, TX
- JP Letellier MD PA
- Kathy Moore
- Kerry B. Williams D.D.S.
- Pete Klassen
- Lance Martin, MD PA
- Eknath Vinayak Lele
- Jean-Pierre Letellier
- Geoffrey Laray Lewis
- Agatha P Martens
- Marsha Crouch Matthews
All providers in Seminole, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.