Individual
MS. VICTORIA ANNE LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
4660 BEECHNUT ST, STE 218, HOUSTON, TX 77096-1825
(713) 521-0006
Mailing address
4660 BEECHNUT ST, STE 218, HOUSTON, TX 77096-1825
(713) 521-0006
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
801548
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295170901
—
TX
01
—
866N87
BCBS
TX
Enumeration date
07/04/2011
Last updated
07/19/2012
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