Porch, Latara U

Porch, Latara U is an individual health care provider with primary practice located at 3309 Parkmill Dr , Killeen TX 76542-6470. She recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as her primary health care specialty. Porch, Latara U can be contacted via phone (813) 409-4146.

Contact Information

Primary practice address
3309 Parkmill Dr Killeen TX 76542-6470
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X Texas

Profile Details

NPI number 1124586516
LBN Legal business name Porch, Latara U
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2019
Last updated Mar 5th, 2019 - about 7 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 1124586516 NPPES
Texas MEDICAID 1744P3200X

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