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1831149897

NPI Code Detail

MEDICARE: MARGARET B LANDES MD

MEDICARE: MARGARET B LANDES 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	208000000X	Pediatrics Physician	42345	CO
2	208000000X	Pediatrics Physician	060928	GA
3	208000000X	Pediatrics Physician	N9734	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831149897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET B LANDES MD

Provider Business Mailing Address
First Line	:	668 LLEWELLYN LN
Second Line	:
City	:	KILLEEN
State	:	TX
Zip	:	76542-5646
Country	:	US
Telephone Number	:	706-910-6343
Fax Number	:	254-680-6391

Provider Business Practice Location Address
First Line	:	850 W CENTRAL TEXAS EXPY
Second Line	:	SETON MEDICAL CENTER HARKER HEIGHTS
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-1890
Country	:	US
Telephone Number	:	254-680-6339
Fax Number	:	254-680-6391

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	04/30/2015

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Directions to “ MARGARET B LANDES MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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