TRAVIS J LANDRY

THIBODAUX, LA
NPI1831202001
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: LA  la10521rx)
Enumeration Date2006-08-15
Last Update Date2011-09-21
Business Address
-- TRAVIS J LANDRY PA
602 N ACADIA RD
THIBODAUX, LA 70301-4847
Phone number: 985-493-4727
Mailing Address
-- TRAVIS J LANDRY PA
602 N ACADIA RD
THIBODAUX, LA 70301-4847
Phone number: 985-493-4727