Hart, Latara

Hart, Latara is an individual health care provider with primary practice located at 2993 S State Highway 360 Ste 200 , Grand Prairie TX 75052-8906. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Hart, Latara can be contacted via phone (817) 618-5550.

Contact Information

Primary practice address
2993 S State Highway 360 Ste 200 Grand Prairie TX 75052-8906
Phone: (817) 618-5550
Fax: (214) 988-1542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology 225XG0600X 118175 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 118175 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 118175 Texas

Profile Details

NPI number 1891060679
LBN Legal business name Hart, Latara
Credentials LOTR, MOT, CDP, ISTM
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2012
Last updated May 29th, 2024 - 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 1891060679 NPPES
Texas MEDICAID 404282201

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