Individual
LANDON TAYLOR ERICKSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 MEDICAL DR STE 400, LONGVIEW, TX 75605-5205
(903) 757-7871
(903) 753-2479
Mailing address
PO BOX 847176, DALLAS, TX 75284-7176
(903) 237-1800
(903) 237-1810
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
Q8053
TX
Other
Enumeration date
04/27/2011
Last updated
08/25/2016
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