Individual
MICHAEL J LANDGARTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6190 LYNDON B JOHNSON FWY, 702, DALLAS, TX 75240-6344
(214) 466-7230
(214) 466-7236
Mailing address
1600 WATERS RIDGE DR STE A, LEWISVILLE, TX 75057-6039
(214) 466-7230
(214) 466-7236
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
M0142
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173737103
—
TX
Enumeration date
08/10/2005
Last updated
08/27/2024
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