Provider Demographics
NPI:1003795857
Name:LANDAETA ANDRADE, LUISANA
Entity type:Individual
Prefix:
First Name:LUISANA
Middle Name:
Last Name:LANDAETA ANDRADE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 ELDRIDGE PKWY APT 312
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-2164
Mailing Address - Country:US
Mailing Address - Phone:832-296-0277
Mailing Address - Fax:
Practice Address - Street 1:955 CAMPBELL RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2803
Practice Address - Country:US
Practice Address - Phone:713-464-1511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44798235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist