MEDICARE: PATRICE LATIMER MD

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
1	207Q00000X	Family Medicine Physician	K3603	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851471254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICE LATIMER MD

Provider Business Mailing Address
First Line	:	1395 NW 167TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33169-5710
Country	:	US
Telephone Number	:	713-429-0655
Fax Number	:	713-429-0670

Provider Business Practice Location Address
First Line	:	4423 GRIGGS RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-2815
Country	:	US
Telephone Number	:	713-429-0655
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	05/18/2021

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Directions to “ PATRICE LATIMER MD” Practice Location

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