Organization
JERRY LATHAM OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY L LATHAM O.D. (OWNER)
(817) 571-6688
Entity
Organization
Contact information
Practice address
2600 HARWOOD RD, BEDFORD, TX 76021-3700
(817) 571-6688
(817) 571-6906
Mailing address
2600 HARWOOD RD, BEDFORD, TX 76021-3700
(817) 571-6688
(817) 571-6906
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
TX
Other
Enumeration date
03/09/2007
Last updated
03/02/2009
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