Individual
DR. FABIAN ENRIQUE LATORRE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
(479) 521-8260
Mailing address
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
(479) 521-8260
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
208M00000X
Hospitalist Physician
MD61542367
WA
208M00000X
Hospitalist Physician
Primary
ME156624
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080579802
—
TX
Enumeration date
09/13/2012
Last updated
06/03/2025
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