person
Travis J Landry, PA
Medical Physician Assistant in Thibodaux, Louisiana
NPI 1831202001

Travis J Landry is a Medical Physician Assistant based in Thibodaux, LA and is specialized in Medical. Travis J Landry practices in Thibodaux, LA and has the professional credentials of PA. The NPI Number for Travis J Landry is 1831202001 and holds a License No. LA10521RX (Louisiana).

The current practice location address for Travis J Landry is 602 N Acadia Rd, Thibodaux, LA and can be reached out via phone at 985-493-4727 and via fax at 985-449-4603. You can also correspond with Travis J Landry through the mailing address at 602 N ACADIA RD, THIBODAUX, LA - 70301-4847 (mailing address contact number: 985-493-4727).

Location: 602 N Acadia Rd, Thibodaux, LA, 70301-4847
person
Provider Profile Details
NPI Number
1831202001
Provider Name
Travis J Landry
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
602 N Acadia Rd, Thibodaux, LA, 70301-4847
Phone Number
985-493-4727
Fax Number
985-449-4603
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1023353 05 LA
institution
Provider Business Practice Location Address Details
Address
602 N Acadia Rd
City
State
Zip
70301-4847
Phone Number
985-493-4727
Fax Number
985-449-4603
person
Provider Business Mailing Address Details
Address
602 N Acadia Rd
City
State
Zip
70301-4847
Phone Number
985-493-4727
Fax Number
985-449-4603
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
LA10521RX (Louisiana)
Definition
Definition to come...
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