Individual
DR. ANAYDA GRACIELA LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7101 S STAPLES ST STE 101, CORPUS CHRISTI, TX 78413-5543
(361) 994-7255
(361) 994-7740
Mailing address
7101 S STAPLES ST STE 101, CORPUS CHRISTI, TX 78413-5543
(361) 994-7255
(361) 994-7740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
N3811
TX
208000000X
Pediatrics Physician
Primary
N3811
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121271401
—
TX
01
—
N3811
MEDICAL LICENSE
TX
Enumeration date
09/20/2009
Last updated
09/20/2009
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