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Kusam Lata, FNP
Family Nurse Practitioner in Schertz, Texas
NPI 1922514603

Kusam Lata is a Family Nurse Practitioner based in Schertz, TX and is specialized in Family. Kusam Lata practices in Schertz, TX and has the professional credentials of FNP. The NPI Number for Kusam Lata is 1922514603 and holds a License No. AP136073 (Texas).

The current practice location address for Kusam Lata is 2693 Fm 3009, Schertz, TX and can be reached out via phone at 210-658-3087.

Location: 2693 Fm 3009, Schertz, TX, 78154-2712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922514603
Provider Name
Kusam Lata
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2693 Fm 3009, Schertz, TX, 78154-2712
Phone Number
210-658-3087
Fax Number
Provider Enumeration Date
12/18/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1922514603 05 TX
institution
Provider Business Practice Location Address Details
Address
2693 Fm 3009
City
Schertz
State
Texas
Zip
78154-2712
Phone Number
210-658-3087
Fax Number
person
Provider Business Mailing Address Details
Address
2693 Fm 3009
City
Schertz
State
Texas
Zip
78154-2712
Phone Number
210-658-3087
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP136073 (Texas)
Definition
Definition to come...
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