Individual
DR. VIRAL LATHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
309 REGENCY PKWY STE 205, MANSFIELD, TX 76063-7305
(682) 499-1777
(682) 499-1779
Mailing address
309 REGENCY PKWY STE 205, MANSFIELD, TX 76063-7305
(551) 208-1758
(682) 499-1779
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
24429
MS
207RC0000X
Cardiovascular Disease Physician
Primary
S0177
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3933251
—
TX
Enumeration date
06/26/2007
Last updated
10/08/2024
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