Provider Demographics
NPI:1306608724
Name:GARNETT, LANDON JOHN (NP)
Entity type:Individual
Prefix:
First Name:LANDON
Middle Name:JOHN
Last Name:GARNETT
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3305 ANDREWS HWY
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79703-5130
Mailing Address - Country:US
Mailing Address - Phone:432-620-0525
Mailing Address - Fax:432-682-6200
Practice Address - Street 1:3305 ANDREWS HWY
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79703-5130
Practice Address - Country:US
Practice Address - Phone:432-620-0525
Practice Address - Fax:432-682-6200
Is Sole Proprietor?:No
Enumeration Date:2024-01-30
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1140599363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily