Individual
LATISHE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13303 LAKE EXCURSION CT, HOUSTON, TX 77044-5577
(409) 600-4360
Mailing address
13303 LAKE EXCURSION CT, HOUSTON, TX 77044-5577
(409) 600-4360
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/03/2018
Last updated
09/03/2018
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