Provider Demographics
NPI:1033901426
Name:VANLANDINGHAM, JAMEY DALE
Entity type:Individual
Prefix:MR
First Name:JAMEY
Middle Name:DALE
Last Name:VANLANDINGHAM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7711 FM 3180 RD APT 1208
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77523-5051
Mailing Address - Country:US
Mailing Address - Phone:870-805-8295
Mailing Address - Fax:
Practice Address - Street 1:7711 FM 3180 RD APT 1208
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77523-5051
Practice Address - Country:US
Practice Address - Phone:870-805-8295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX769811146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic