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NPI Code Detail

MEDICARE: DR. LATASHA NICOLE JARRETT MD

MEDICARE: DR. LATASHA NICOLE JARRETT 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
1207V00000XObstetrics & Gynecology PhysicianM1163TX

Other Identifiers

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

General Provider Information

NPI Number : 1932172574
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LATASHA NICOLE JARRETT MD
Provider Business Mailing Address
First Line : 2332 BEVERLY HILLS DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76114-1756
Country : US
Telephone Number : 817-378-0855
Fax Number : 817-378-0861
Provider Business Practice Location Address
First Line : 2332 BEVERLY HILLS DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76114-1756
Country : US
Telephone Number : 817-378-0855
Fax Number : 817-378-0861
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 04/15/2020

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