person
Mia Latham, NP
Women's Health Nurse Practitioner in Lubbock, Texas
NPI 1487690236

Mia Latham is a Women's Health Nurse Practitioner based in Lubbock, TX and is specialized in Women's Health. Mia Latham practices in Lubbock, TX and has the professional credentials of NP. The NPI Number for Mia Latham is 1487690236 and holds a License No. 547826 (Texas).

The current practice location address for Mia Latham is 3601 4Th St, Lubbock, TX and can be reached out via phone at 806-743-2340 and via fax at 806-743-1775. You can also correspond with Mia Latham through the mailing address at PO BOX 5865, LUBBOCK, TX - 79408-5865 (mailing address contact number: 806-743-2898).

Location: 3601 4Th St, Lubbock, TX, 79408-5865
person
Provider Profile Details
NPI Number
1487690236
Provider Name
Mia Latham
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3601 4Th St, Lubbock, TX, 79408-5865
Phone Number
806-743-2340
Fax Number
806-743-1775
Provider Enumeration Date
06/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
28759834 05 NM
8Y0080 01 TX HMO BLUE
8Y0082 01 TX BC/BS
institution
Provider Business Practice Location Address Details
Address
3601 4Th St
City
State
Zip
79430-0002
Phone Number
806-743-2340
Fax Number
806-743-1775
person
Provider Business Mailing Address Details
Address
3601 4Th St
City
State
Zip
79430-0002
Phone Number
806-743-2340
Fax Number
806-743-1775
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
547826 (Texas)
Definition
Definition to come...
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