Individual
LATASHA CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-4691
(214) 633-5555
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 633-5555
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1091068
TX
Other
Enumeration date
01/12/2023
Last updated
07/07/2025
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