Organization
PHILIP A LANDRY MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP A, LANDRY MD (OWNER)
(337) 942-5815
Entity
Organization
Contact information
Practice address
216 ROBIN LN, OPELOUSAS, LA 70570-9149
(337) 942-5815
(337) 942-8004
Mailing address
PO BOX 880, OPELOUSAS, LA 70571-0880
(337) 942-5815
(337) 942-8004
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
012300
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1178756
—
LA
Enumeration date
03/08/2010
Last updated
09/15/2022
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