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Individual

DR. LATISHA RENEA AMOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC, FNP

Contact information

Practice address
606 WALLER AVE, BROOKSHIRE, TX 77423-9371
(281) 934-1000
Mailing address
8055 FM 359 RD S UNIT 323, FULSHEAR, TX 77441-1313
(832) 216-2244

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
8885
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP138721
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
522352314
TAX ID
TX
01
F06182646
ADVANCE PRACTICE REGISTER NURSE
TX
Enumeration date
01/08/2007
Last updated
07/24/2025
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