Smith, Landon Ensign

Smith, Landon Ensign is an individual health care provider with primary practice located at 555 Creekside Xing , New Braunfels TX 78130-2594. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Smith, Landon Ensign can be contacted via phone (830) 387-5270.

Contact Information

Primary practice address
555 Creekside Xing New Braunfels TX 78130-2594
Fax: (830) 387-5329
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X N4760 Texas

Profile Details

NPI number 1689853368
LBN Legal business name Smith, Landon Ensign
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2007
Last updated Apr 12th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689853368 NPPES
Texas MEDICAID 215519406

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