Lata, Kusam

Lata, Kusam is an individual health care provider with primary practice located at 2693 Fm 3009 , Schertz TX 78154-2712. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lata, Kusam can be contacted via phone (210) 658-3087.

Contact Information

Primary practice address
2693 Fm 3009 Schertz TX 78154-2712
Phone: (210) 658-3087
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP136073 Texas

Profile Details

NPI number 1922514603
LBN Legal business name Lata, Kusam
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2017
Last updated Jan 6th, 2023 - about last year

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 1922514603 NPPES
Texas MEDICAID 1922514603

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