CLYDE E. LANDRUM M.D. – NPI #1659662625
Otolaryngology

An otolaryngologist who specializes in facial plastic surgery.

CLYDE LANDRUM is an otolaryngologist located in NEW IBERIA, LA. NPPES has assigned the NPI number 1659662625 to CLYDE LANDRUM on April 26, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207YS0123X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Facial Plastic Surgery

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLYDE LANDRUM below.

NPI Profile for
CLYDE E. LANDRUM

NPI Number
1659662625
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CLYDE E. LANDRUM
Credentials
M.D.
Primary location
41 SHADOWS BEND
NEW IBERIA, LA 70563
Phone: (337) 519-3399 Fax: (337) 369-6829
Mailing address
41 SHADOW BND
NEW IBERIA, LA 70563-1738
Phone: (337) 519-3399 Fax: (337) 369-6829
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YS0123X
- Otolaryngology / Facial Plastic Surgery (Primary)
LA 010907

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.