P Praxis·MD
● Active Type 1 · Individual

DR. Landon Roussel, MD

Internal Medicine·Canyon Lake, TX· NPI 1417397340 · Enumerated 2013 · 12 years on NPI
Roussel is 1 of 2 internal medicine providers in Canyon Lake and 1 of 12343 in Texas.
NPI age
12 years
Enumerated 2013-06-25
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
WA, MA
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-05-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 12343 active internal medicine providers in Texas.

NPI age
12 years
↓ 5 yr below median (17 yr)
State licenses
2 states
Top 88% — 12% of peers are multi-state
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-06Enumerated in NPPES
2013 2026

Where they practice

Practice location
1885 Fm 2673 # H112
Canyon Lake, TX 781334765
📞 2067865171
Mailing address
1885 Fm 2673 # H112
Canyon Lake, TX 781334765
📞 2067865171

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
603 S Chestnut St
Ellensburg, WA 989263875
📞 3033901940fax 8663686349
Location 3
502 W 4th Ave
Toppenish, WA 989481616
📞 3033901940fax 8663686349

Specialties

  • Internal Medicine Primary
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    WA license #61493897MA license #255884 taxonomy 207R00000X

Identifiers

TypeValueNotes
01 (WA) 61493892 LICENSE
01 (AK) 187360 LICENSE
01 (TX) V2929 LICENSE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new internal medicine provider has been added in Canyon Lake in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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