Individual
LATIFOU A AMOUSSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LNFA
Contact information
Practice address
305 W FM 1187 APT 534, CROWLEY, TX 76036-4092
(512) 669-2128
Mailing address
305 W FM 1187 APT 534, CROWLEY, TX 76036-4092
(512) 669-2128
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
0012389
TX
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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