DR. JACOB PAUL LANDRY NPI 1679049522

NPI Information

NPI: 1679049522
Provider Name: DR. JACOB PAUL LANDRY
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
1630 CADOGAN LN
KATY, TX
ZIP 77450
Phone: (702) 538-2078
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DR. Jacob Paul Landry is a surgical physician assistant in Katy, TX. DR. Jacob Paul Landry NPI is 1679049522. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1630 CADOGAN LN
KATY, TX
ZIP 77450-086
Phone: (702) 538-2078

The enumeration date for this NPI number is 10/18/2018 and was last updated on 12/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246ZC0007X	Specialist/Technologist, Other	Surgical Assistant	18-442	TEXAS	No
2	363AS0400X	Physician Assistant	Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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