Individual
AHMAD HANSAN LATEEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
ME87894
FL
207L00000X
Anesthesiology Physician
Primary
M2688
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193742702
—
TX
05
—
267389400
—
FL
01
—
81582
BLUE CROSS
FL
01
—
8EQ090
BCBS
TX
01
—
P01441242
RR MEDICARE
TX
Enumeration date
02/01/2006
Last updated
03/07/2023
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