Latour, Jonathan G

Latour, Jonathan G is an individual health care provider with primary practice located at 4601 50Th St Suite 112, Lubbock TX 79414-3513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Latour, Jonathan G can be contacted via phone (806) 785-8000.

Contact Information

Primary practice address
4601 50Th St Suite 112 Lubbock TX 79414-3513
Fax: (809) 792-7174
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X K6081 Texas

Profile Details

NPI number 1679535371
LBN Legal business name Latour, Jonathan G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jul 6th, 2010 - about 14 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 1679535371 NPPES
Texas MEDICAID 116368501

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