Thomas, Latha Mathew

Thomas, Latha Mathew is an individual health care provider with primary practice located at 3529 Heritage Trace Pkwy Ste 137 , Fort Worth TX 76244-4971. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Thomas, Latha Mathew can be contacted via phone (817) 741-7570.

Contact Information

Primary practice address
3529 Heritage Trace Pkwy Ste 137 Fort Worth TX 76244-4971
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X AP125392 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP125392 Texas

Profile Details

NPI number 1225449788
LBN Legal business name Thomas, Latha Mathew
Credentials RN,FNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2014
Last updated Feb 26th, 2022 - about 2 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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