Provider Demographics
NPI:1871583500
Name:LANDRY, COURTNEY ANN (MD)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:ANN
Last Name:LANDRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 MEADOW BAY CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4058
Mailing Address - Country:US
Mailing Address - Phone:504-453-8411
Mailing Address - Fax:
Practice Address - Street 1:6840 HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3850
Practice Address - Country:US
Practice Address - Phone:281-403-3660
Practice Address - Fax:281-403-4718
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-25
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0198207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine