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NPI Code Detail

MEDICARE: LATHAM HENRY LEEDS FINK M.D., PH.D.

MEDICARE: LATHAM HENRY LEEDS FINK M.D., PH.D.
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
12084P0800XPsychiatry PhysicianS0877TX

General Provider Information

NPI Number : 1487002994
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATHAM HENRY LEEDS FINK M.D., PH.D.
Provider Business Mailing Address
First Line : 2703 SOL WILSON AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78702-2556
Country : US
Telephone Number : 512-861-2907
Fax Number : 512-861-2908
Provider Business Practice Location Address
First Line : 2703 SOL WILSON AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78702-2556
Country : US
Telephone Number : 512-861-2907
Fax Number : 512-861-2908
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2016
Last Update Date : 02/22/2021

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