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NPI Code Detail

MEDICARE: LATITIA PHILLIPS

MEDICARE: LATITIA PHILLIPS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant211962TX

General Provider Information

NPI Number : 1255762514
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATITIA PHILLIPS
Provider Business Mailing Address
First Line : 342 CHAPEL HILL DR
Second Line :
City : FORNEY
State : TX
Zip : 75126-3797
Country : US
Telephone Number : 903-407-0908
Fax Number :
Provider Business Practice Location Address
First Line : 1448 HOUSTON ST
Second Line :
City : WILLS POINT
State : TX
Zip : 75169-3120
Country : US
Telephone Number : 903-873-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2013
Last Update Date : 04/11/2025

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1932742616 — EASTLAND MEMORIAL HOSPITAL DISTRICT
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Directions to “ LATITIA PHILLIPS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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