Individual
JEFFREY H LANDAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1105 CENTRAL EXPY N, SUITE 350, ALLEN, TX 75013-6103
(972) 747-4200
Mailing address
5100 W ELDORADO PKWY, SUITE 102 PMB 901, MCKINNEY, TX 75070-6309
(972) 747-4200
(972) 747-4222
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
77084
MN
208800000X
Urology Physician
G50587
CA
208800000X
Urology Physician
Primary
K4934
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029520602
—
TX
01
—
8AJ901
BLUECROSS BLUE SHIELD
TX
Enumeration date
08/23/2005
Last updated
05/21/2024
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