Individual
DIANE WALLACE LANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
811 W INTERSTATE 20 STE 120, ARLINGTON, TX 76017-5871
(817) 468-3393
(817) 468-8734
Mailing address
811 W INTERSTATE 20 STE 120, ARLINGTON, TX 76017-5871
(817) 468-3393
(817) 468-8734
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01040
TX
Other
Enumeration date
06/14/2006
Last updated
11/25/2019
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