Individual
CAROLYN MARIE LANDSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9835 N LAKE CREEK PKWY, AUSTIN, TX 78717-6210
(737) 229-3502
Mailing address
9835 N LAKE CREEK PKWY, AUSTIN, TX 78717-6210
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME114874
FL
2080S0010X
Pediatric Sports Medicine Physician
Primary
M9382
TX
2080S0010X
Pediatric Sports Medicine Physician
ME114874
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2010
Last updated
03/04/2024
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