| Latch D, Pllc | |
|
904 Lexington St Fort Worth TX 76102-3550 | |
| (817) 335-2666 | |
| (817) 335-2669 |
| Full Name | Latch D, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 904 Lexington St, Fort Worth, Texas |
| Authorized Official Name and Position | Lisa Park (PRACTICE MANAGER) |
| Authorized Official Contact | 8173352666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Latch D, Pllc 904 Lexington St Fort Worth TX 76102-3550 Ph: (817) 335-2666 | Latch D, Pllc 904 Lexington St Fort Worth TX 76102-3550 Ph: (817) 335-2666 |
| NPI Number | 1801443361 |
|---|---|
| Provider Enumeration Date | 08/20/2019 |
| Last Update Date | 08/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801443361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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