Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cameron Trace Landreth, PA-C

Individual provider Family Medicine Physician · NPI 1659866119

Cameron Trace Landreth, PA-C is a Family Medicine Physician in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

12000 Huebner Rd Ste 104
San Antonio, TX 78230-1209
Phone: (210) 561-2422
Fax: (210) 561-2466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA12024 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence PA12024 (TX)

Record details

NPI number1659866119
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 27, 2018
Last updated in NPPESApril 4, 2019

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