Individual
ANNA L LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1432 COMMERCE, BUFFALO, TX 75131
(903) 322-3864
(903) 322-6296
Mailing address
PO BOX 223, BUFFALO, TX 75831-0223
(903) 322-3864
(903) 322-6296
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
MT121956
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT121956
LMT
TX
Enumeration date
06/28/2019
Last updated
06/28/2019
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