| Dr Brad Taylor Landrum, MD | |
|
400 W Lyndon B Johnson Fwy Ste 130, Irving, TX 75063-3700 | |
| (972) 990-5222 | |
| (972) 990-3900 |
| Full Name | Dr Brad Taylor Landrum |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 400 W Lyndon B Johnson Fwy Ste 130, Irving, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356870620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | S0001 (Texas) | Secondary |
| 207Q00000X | Family Medicine | S0001 (Texas) | Primary |
| Entity Name | Blc Wound Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508500638 PECOS PAC ID: 8729465109 Enrollment ID: O20220525000483 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brad Taylor Landrum, MD 9819 Edgecove Dr, Dallas, TX 75238-1535 Ph: (817) 793-0513 | Dr Brad Taylor Landrum, MD 400 W Lyndon B Johnson Fwy Ste 130, Irving, TX 75063-3700 Ph: (972) 990-5222 |
Dr. Sat P Gupta, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7447 N Macarthur Blvd, Suite 190, Irving, TX 75063 Phone: 972-861-5200 Fax: 972-861-5205 | |
Dr. Asif Iqbal Khan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 S Irving Heights Dr, Irving, TX 75060 Phone: 972-579-7979 | |
Thomas E Diaz, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4625 Redwood Ct, Irving, TX 75038 Phone: 214-245-4660 | |
Darryl B Tisherman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2021 N Macarthur Blvd, Suite 150, Irving, TX 75061 Phone: 972-253-4354 Fax: 972-253-4218 | |
Dr. Bekele Chamiso Olbamo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4545 Fuller Dr, Suite 325, Irving, TX 75038 Phone: 972-870-5511 Fax: 972-870-5512 | |
Dr. Maria Nicola Biard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6161 N State Highway 161, Irving, TX 75038 Phone: 972-258-7499 Fax: 972-257-0897 | |
Mary C Ward, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6161 N State Highway 161, Irving, TX 75038 Phone: 972-258-7499 Fax: 972-257-0897 |