MR. TRAVIS OBERY LANDRY


Address: Psc 561 Box 316, Fpo, AP 96310-0004
Phone: 3152533994

MR. TRAVIS OBERY LANDRY (NPI# 1669743712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669743712
Entity Type Individual
Full Name MR. TRAVIS OBERY LANDRY
Credential D.O.
Practice Address Psc 561 Box 316
Fpo
AP 96310-0004
Practice Telephone 3152533994
Enumeration Date 2012-01-21
Last Update Date 2014-12-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice DR.0053063 CO Allopathic & Osteopathic Physicians

Other Providers TRAVIS LANDRY

NPI Name Taxonomy Address Enumeration
1831202001 Travis J Landry Physician Assistant 602 N Acadia Rd, Thibodaux, LA 70301-4847 2006-08-15

Office Location

Street Address PSC 561 BOX 316
City FPO
State AP
Zip Code 96310-0004

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1265614069 Jeramy D Sawyers Physician Assistant Marine Corps Air Station Iwakuni, Japan, Branch Health Clinic, Fpo, AP 96310 2007-12-04
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City FPO
Zip Code 96310

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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