Provider Demographics
NPI:1437335924
Name:LANDERS, JARRATT WADE (MT)
Entity Type:Individual
Prefix:MR
First Name:JARRATT
Middle Name:WADE
Last Name:LANDERS
Suffix:
Gender:M
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HERMANN MUSEUM CIRCLE DR APT 2025
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7187
Mailing Address - Country:US
Mailing Address - Phone:713-521-2330
Mailing Address - Fax:
Practice Address - Street 1:1 HERMANN MUSEUM CIRCLE DR APT 2025
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7187
Practice Address - Country:US
Practice Address - Phone:713-521-2330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist