Provider Demographics
NPI:1700349511
Name:CLARE, LAYLEE ELIZABETH (DO)
Entity Type:Individual
Prefix:DR
First Name:LAYLEE
Middle Name:ELIZABETH
Last Name:CLARE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:LAYLEE
Other - Middle Name:ELIZABETH
Other - Last Name:GHAFAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:4144 N CENTRAL EXPY STE 360
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-2156
Mailing Address - Country:US
Mailing Address - Phone:214-827-7460
Mailing Address - Fax:214-826-6858
Practice Address - Street 1:4144 N CENTRAL EXPY STE 360
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-2156
Practice Address - Country:US
Practice Address - Phone:214-827-7460
Practice Address - Fax:214-826-6858
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU3496207L00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program