Organization
SOUTH TEXAS LATCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAILEY KRENEK IBCLC (OWNER)
(979) 217-1724
Entity
Organization
Contact information
Practice address
2528 COUNTY ROAD 453, EL CAMPO, TX 77437-6778
(979) 217-1724
Mailing address
2528 COUNTY ROAD 453, EL CAMPO, TX 77437-6778
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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