Individual
MR. JORGE HUMBERTO LANDA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
20659 STONE OAK PKWY APT 1810, SAN ANTONIO, TX 78258-7534
(956) 744-0135
Mailing address
11170 CANDLE PARK, SAN ANTONIO, TX 78249-4207
(956) 744-0135
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
188850
TX
363AS0400X
Surgical Physician Assistant
Primary
—
TX
Other
Enumeration date
05/19/2019
Last updated
05/17/2022
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