Provider Demographics
NPI:1215994397
Name:LANDRY, ROBERT KEITH (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:KEITH
Last Name:LANDRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2331 CUMBERLAND OAK CT
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345-2150
Mailing Address - Country:US
Mailing Address - Phone:281-360-5736
Mailing Address - Fax:281-929-4153
Practice Address - Street 1:2331 CUMBERLAND OAK CT
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77345-2150
Practice Address - Country:US
Practice Address - Phone:281-360-5736
Practice Address - Fax:281-929-4153
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8405207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine