Jarrett, Latasha Nicole

Jarrett, Latasha Nicole is an individual health care provider with primary practice located at 2332 Beverly Hills Dr , Fort Worth TX 76114-1756. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Jarrett, Latasha Nicole can be contacted via phone (817) 378-0855.

Contact Information

Primary practice address
2332 Beverly Hills Dr Fort Worth TX 76114-1756
Phone: (817) 378-0855
Fax: (817) 378-0861
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M1163 Texas

Profile Details

NPI number 1932172574
LBN Legal business name Jarrett, Latasha Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Apr 15th, 2020 - about 5 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932172574 NPPES
Texas MEDICAID 177536302

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