Individual
LATANYA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
5430 CASA MARTIN DR, KATY, TX 77449-1637
(718) 598-8243
Mailing address
5430 CASA MARTIN DR, KATY, TX 77449-1637
(718) 598-8243
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
—
—
343800000X
Secured Medical Transport (VAN)
Primary
—
TX
343900000X
Non-emergency Medical Transport (VAN)
—
TX
Other
Enumeration date
10/31/2021
Last updated
09/16/2022
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