| Latania Booker Md Pllc | |
|
6565 Fannin St Houston TX 77030-2703 | |
| (713) 980-5461 | |
| Not Available |
| Full Name | Latania Booker Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6565 Fannin St, Houston, Texas |
| Authorized Official Name and Position | Latania L Booker (PROVIDER) |
| Authorized Official Contact | 7139805461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Latania Booker Md Pllc Po Box 1503 Fresno TX 77545-1503 Ph: (281) 252-9993 | Latania Booker Md Pllc 6565 Fannin St Houston TX 77030-2703 Ph: (713) 980-5461 |
| NPI Number | 1528469418 |
|---|---|
| Provider Enumeration Date | 09/10/2014 |
| Last Update Date | 09/10/2014 |
| Medicare PECOS PAC ID | 9739403130 |
|---|---|
| Medicare Enrollment ID | O20150113000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528469418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Latania Y Booker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790916245 PECOS PAC ID: 1557511771 Enrollment ID: I20121025000045 |
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