Individual provider · Type 1 NPI
Travis J. Landry, PA
Medical Physician Assistant · Thibodaux, LA
NPI number
1831202001
Active
Practice location
602 N Acadia Rd
Thibodaux, LA 70301-4847
Fax (985) 449-4603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | LA10521RX (LA) |
Medical Physician Assistant: Definition to come...
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About NPI 1831202001
Travis J. Landry, PA's National Provider Identifier is 1831202001, issued on Aug 15, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Thibodaux, LA. The record was last updated on Sep 21, 2011.