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Individual
JOSHUA LANDRUM
Active
Individual
JOSHUA LANDRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14220
TX
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
PA14220
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424014501
—
TX
01
—
424014502
C-SHCN
TX
Enumeration date
01/05/2021
Last updated
10/19/2021
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