Individual
MOLLY SUE LATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 HOSPITAL PKWY, BEDFORD, TX 76022-6913
(817) 848-4000
Mailing address
1834 WISTERIA DR, GRAND PRAIRIE, TX 75050-2263
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
465190
TX
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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