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DR. JACOB PAUL LANDRY LSA
NPI 1679049522
Specialist/Technologist, Other - Surgical Assistant in Katy, TX

Active since October 18, 2018
20119 AMBERLIGHT LN, KATY, TX 77450(214) 227-2457(214) 764-0880 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2024, Dec 16, 2021, Oct 24, 2019 and 2 more (5 updates tracked since 2018).

About Dr. Jacob Paul Landry Lsa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACOB PAUL LANDRY LSA (NPI 1679049522) is an individual surgical assistant in Katy, Texas, licensed in Texas (SA00774) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1679049522
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameDR. JACOB PAUL LANDRYCredential: LSA
Location Address20119 AMBERLIGHT LNKaty, TX 77450-5050
Mailing AddressPo Box 2550Rowlett, TX 75030-2550 · (214) 227-2457 · Fax (214) 764-0880
Phone(214) 227-2457
Fax(214) 764-0880
Sole ProprietorYes
Enumeration DateOctober 18, 2018
Last NPPES UpdateAugust 22, 20255 updates tracked since enumeration
NPPES CertifiedAugust 22, 2025
✔ NPI 1679049522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in TX · SA00774
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
20119 AMBERLIGHT LN, Katy, TX 77450
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LANDRY & KIEJNA SURGICAL ASSISTING
Specialist/Technologist, Other (Surgical Assistant)
20119 AMBERLIGHT LN
KATY, TX 77450
Harris County (214) 227-2457

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Landry's NPI number?

The NPI number for Jacob Landry is 1679049522. It was assigned to this individual provider in the NPPES registry on October 18, 2018.

Where is Jacob Landry located?

Jacob Landry practices at 20119 Amberlight Ln, Katy, TX 77450. The listed phone number is (214) 227-2457.

What is Jacob Landry's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Jacob Landry was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.