Individual provider · Type 1 NPI

Jacob Paul Landry, LSA

Surgical Assistant · Katy, TX

NPI number 1679049522 Active

Practice location

20119 Amberlight Ln
Katy, TX 77450-5050

Fax (214) 764-0880

Mailing address

PO Box 2550
Rowlett, TX 75030-2550

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant Primary 246ZC0007XSA00774 (TX)

Surgical Assistant: A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in h…

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About NPI 1679049522

Jacob Paul Landry, LSA's National Provider Identifier is 1679049522, issued on Oct 18, 2018. The primary taxonomy on file is Surgical Assistant (246ZC0007X), and the practice location is in Katy, TX. The record was last updated on Aug 22, 2025.