Individual
HTUN LATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4411 MEDICAL DR STE 300, SAN ANTONIO, TX 78229-3824
(210) 614-5400
Mailing address
4411 MEDICAL DR STE 300, SAN ANTONIO, TX 78229-3824
(210) 614-5400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17055
NV
207R00000X
Internal Medicine Physician
LL2494
NV
207RI0011X
Interventional Cardiology Physician
Primary
T5371
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13994830
CAQH
—
Enumeration date
03/27/2014
Last updated
11/11/2024
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