Individual
DAMIAN LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4045 W 15TH ST, PLANO, TX 75093-5891
(972) 479-5923
Mailing address
3112 FALKLAND RD, CARROLLTON, TX 75007-3513
(618) 367-3455
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2157440
TX
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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