NPI 1144791591

Latishica Eaden

Practitioner Phlebology Physician Humble, TX

Practice location

Address: 2618 Merganser CT, Humble, TX 77396-4148
Phone: (346) 719-3814

Registered specialties

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence 006355 (TX)

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Registry record

NPI: 1144791591
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Dec 2018
Record last updated: 11 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.