Individual
MR. WILLIAM LATHAM ST.CHARLES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
12221 LESLIE RD, HELOTES, TX 78023-4404
(210) 397-4859
(210) 695-5864
Mailing address
18 ETON GREEN CIR, SAN ANTONIO, TX 78257-1633
(210) 698-5235
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT0390
TX
Other
Enumeration date
02/06/2006
Last updated
07/08/2007
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