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Individual

DR. ANAYDA GRACIELA LANDRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

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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