MEDICARE: LATOYA L KENT

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	332B00000X	Durable Medical Equipment & Medical Supplies	E1399	TX

General Provider Information

NPI Number	:	1225732233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATOYA L KENT

Provider Business Mailing Address
First Line	:	5704 VAL VERDE ST STE 3
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-5726
Country	:	US
Telephone Number	:	978-822-0781
Fax Number	:

Provider Business Practice Location Address
First Line	:	5704 VAL VERDE ST STE 3
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-5726
Country	:	US
Telephone Number	:	978-822-0781
Fax Number	:

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

Provider Enumeration Date	:	03/27/2023
Last Update Date	:	03/27/2023

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Directions to “ LATOYA L KENT ” Practice Location

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