Individual
DR. RUSSELL PAUL LANDRY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
651 DUNLOP LANE, CLARKSVILLE, TN 37040
(713) 430-6095
Mailing address
1303 US HWY 127 S STE 402, BOX 367, FRANKFORT, KY 40601
(713) 430-6095
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
51961
KY
207P00000X
Emergency Medicine Physician
Primary
62086
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2414038
—
LA
Enumeration date
03/28/2016
Last updated
08/02/2023
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