MEDICARE: LATACHA BEATRICE BRIGGS CCHT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	171M00000X	Case Manager/Care Coordinator
2	2472R0900X	Renal Dialysis Technician
3	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1356109458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATACHA BEATRICE BRIGGS CCHT

Provider Business Mailing Address
First Line	:	6535 CARLY PARK WAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-1395
Country	:	US
Telephone Number	:	832-235-4894
Fax Number	:

Provider Business Practice Location Address
First Line	:	6535 CARLY PARK WAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-1395
Country	:	US
Telephone Number	:	832-235-4894
Fax Number	:

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

Provider Enumeration Date	:	03/12/2024
Last Update Date	:	03/14/2024

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Directions to “ LATACHA BEATRICE BRIGGS CCHT” Practice Location

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