MEDICARE: DR. CHRISTINE SUSAN LANDRY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086X0206X	Surgical Oncology Physician	M9438	TX
2	208600000X	Surgery Physician	M9438	TX

General Provider Information

NPI Number	:	1083742662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE SUSAN LANDRY MD

Provider Business Mailing Address
First Line	:	9900 N CENTRAL EXPY STE 500
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-0928
Country	:	US
Telephone Number	:	214-987-3376
Fax Number	:	469-532-0273

Provider Business Practice Location Address
First Line	:	10703 PRESTON RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-3806
Country	:	US
Telephone Number	:	214-987-3376
Fax Number	:	469-532-0273

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	04/15/2026

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