Individual
BENJAMIN PAUL LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC), LACKLAND A F B, TX 78236-9908
(210) 292-5545
Mailing address
2490 S BRAMLET DR, CONROE, TX 77304-2172
(210) 265-9526
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP116018
TX
Other
Enumeration date
08/05/2006
Last updated
07/06/2022
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