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NPI Code Detail

MEDICARE: DR. DAVID B. LAND D.O.

MEDICARE: DR. DAVID B. LAND D.O.
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
1207V00000XObstetrics & Gynecology PhysicianHO543TX

General Provider Information

NPI Number : 1659435451
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID B. LAND D.O.
Provider Business Mailing Address
First Line : 2285 WILLOW TRL
Second Line :
City : EAGLE PASS
State : TX
Zip : 78852-3882
Country : US
Telephone Number : 830-968-4387
Fax Number :
Provider Business Practice Location Address
First Line : 2525 N VETERANS BLVD
Second Line :
City : EAGLE PASS
State : TX
Zip : 78852-3302
Country : US
Telephone Number : 830-773-5358
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID B. LAND D.O.” Practice Location

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