Individual
MRS. LATIBA DESIREE CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPA, PA-C
Contact information
Practice address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 916-2347
Mailing address
23919 SEVEN WINDS, SAN ANTONIO, TX 78258-7265
(210) 639-0126
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA05283
TX
Other
Enumeration date
10/26/2005
Last updated
09/17/2019
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