# JEFFREY H LANDAU MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134317399
- **Authorized official:** JEFFREY H LANDAU MD (PRESIDENT)
- **Authorized official phone:** (972) 747-4200

## Contact information

- **Practice address:** 1105 CENTRAL EXPY N, SUITE 350, ALLEN, TX 75013-6103
- **Practice address phone:** (972) 747-4200
- **Mailing address:** 5100 ELDORADO PKWY, SUITE 102-PMB 901, MCKINNEY, TX 75070
- **Mailing address phone:** (972) 747-4200
- **Mailing address fax:** (972) 747-4222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | K4934 | TX | Yes |

## Other

- **Enumeration date:** 10/11/2007
- **Last updated:** 06/29/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0085QS | BCBS | TX |
| 05 | — | 159950801 | — | TX |