Individual
MR. DELBERT LATHAM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
10550 W PARMER LN, AUSTIN, TX 78717-4873
(512) 310-3190
Mailing address
10550 W PARMER LN, AUSTIN, TX 78717-4873
(512) 310-3190
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
696424
TX
363L00000X
Nurse Practitioner
Primary
AP144979
TX
363LF0000X
Family Nurse Practitioner
AP144979
TX
Other
Enumeration date
11/13/2019
Last updated
11/30/2022
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