Ward, Latisha Marie

Ward, Latisha Marie is an individual health care provider with primary practice located at 600 East Interstate 20 , Stanton TX 79782. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ward, Latisha Marie can be contacted via phone (432) 607-3200.

Contact Information

Primary practice address
600 East Interstate 20 Stanton TX 79782
Phone: (432) 607-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X AP139148 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP139148 Texas

Profile Details

NPI number 1609341007
LBN Legal business name Ward, Latisha Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2018
Last updated Feb 8th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609341007 NPPES
Texas Other 8LD678 BCBS TX

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