| NPI | 1972822070 |
|---|---|
| Other Name | JASON A LANDRY A PROFESSIONAL MEDICAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | JASON A LANDRY Owner 337-706-7966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 201584) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2010-10-04 |