Individual
GLENN CAREY LANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2727 W HOLCOMBE BLVD, HOUSTON, TX 77025-1669
(713) 442-0000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G9614
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
G9614
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128422602
—
TX
05
—
128422606
—
TX
05
—
128422607
—
TX
Enumeration date
10/05/2006
Last updated
06/09/2021
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