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Individual

CAMERON TRACE LANDRETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA12024
TX
363AM0700X
Medical Physician Assistant
Primary
PA12024
TX

Other

Enumeration date
06/27/2018
Last updated
04/04/2019
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