Most Relevant Information
Provider Data
| NPI Number: | 1003835471 |
| Provider Name: | KING LANDISS BUCHANAN |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC1900X |
| Specialty: | Psychologist |
| License Number: | TX23833 |
Most Important Dates
| Enumeration Date: | 07/18/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
8008 SLIDE RD
LUBBOCK
TX
794242841
Practice Location Phone/Fax
| Phone: | 8067988855 |
| Fax: |
Provider Mailing Location
5527 79TH ST
LUBBOCK
TX
794242605
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |