Individual
DR. DAVID ALLEN LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 NEWMAN ST, FAIRFIELD, TX 75840-1419
(903) 644-6652
(903) 644-1604
Mailing address
125 NEWMAN ST, FAIRFIELD, TX 75840-1419
(903) 644-6652
(903) 644-1604
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M9440
TX
207Q00000X
Family Medicine Physician
25781
OK
207Q00000X
Family Medicine Physician
Primary
M9440
TX
Other
Enumeration date
11/14/2007
Last updated
08/22/2016
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