Provider Demographics
NPI:1336323559
Name:LANDRAU ADORNO, CARMEN WALESKA (MD)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:WALESKA
Last Name:LANDRAU ADORNO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:15055 EAST FWY STE B10
Mailing Address - Street 2:
Mailing Address - City:CHANNELVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:77530-4141
Mailing Address - Country:US
Mailing Address - Phone:281-452-5200
Mailing Address - Fax:281-452-5205
Practice Address - Street 1:15055 EAST FWY STE B10
Practice Address - Street 2:
Practice Address - City:CHANNELVIEW
Practice Address - State:TX
Practice Address - Zip Code:77530-4141
Practice Address - Country:US
Practice Address - Phone:281-452-5200
Practice Address - Fax:281-452-5205
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-24
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM4265207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease