Provider Demographics
NPI:1558893388
Name:ORLANDO, LAYNE VINCENT
Entity Type:Individual
Prefix:MR
First Name:LAYNE
Middle Name:VINCENT
Last Name:ORLANDO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5511 DE MILO DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-4118
Mailing Address - Country:US
Mailing Address - Phone:832-316-4352
Mailing Address - Fax:
Practice Address - Street 1:5511 DE MILO DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-4118
Practice Address - Country:US
Practice Address - Phone:832-316-4352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-30
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer