Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | N8206 | TX |
N | 207ND0101X | MOHS-Micrographic Surgeon | N8206 | TX |
N | 207R00000X | Internist | N8206 | TX |
N | 111NI0900X | Internist | N8206 | TX |
N | 207R00000X | Internist | OS10591 | FL |
N | 111NI0900X | Internist | OS10591 | FL |
NPI | 1396975850 |
---|---|
Provider Name | James Landero |
First Address | Abilene, TX 79601-2906 |
Second Address | Abilene, TX 79601-2906 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2009 |
Last Update Date | 11/02/2014 |