Hart, Latara
Hart, Latara is an individual health care provider with primary practice located at 2993 S State Highway 360 Ste 200 , Grand Prairie TX 75052-8906. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Hart, Latara can be contacted via phone (817) 618-5550.Contact Information
Primary practice address
2993 S State Highway 360 Ste 200
Grand Prairie TX 75052-8906
Phone: (817) 618-5550
Fax: (214) 988-1542
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology | 225XG0600X | 118175 | Texas |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 118175 | Texas |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 118175 | Texas |
Profile Details
NPI number | 1891060679 |
---|---|
LBN Legal business name | Hart, Latara |
Credentials | LOTR, MOT, CDP, ISTM |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 13th, 2012 |
Last updated | May 29th, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891060679 | NPPES |
Texas | MEDICAID | 404282201 |
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