Organization
JEFFREY H LANDAU MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY H LANDAU MD (PRESIDENT)
(972) 747-4200
Entity
Organization
Contact information
Practice address
1105 CENTRAL EXPY N, SUITE 350, ALLEN, TX 75013-6103
(972) 747-4200
Mailing address
5100 ELDORADO PKWY, SUITE 102-PMB 901, MCKINNEY, TX 75070
(972) 747-4200
(972) 747-4222
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
K4934
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085QS
BCBS
TX
05
—
159950801
—
TX
Enumeration date
10/11/2007
Last updated
06/29/2020
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