LATARA U PORCH (NPI# 1124586516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124586516 |
| Entity Type | Individual |
| Full Name | LATARA U PORCH |
| Practice Address |
3309 Parkmill Dr Killeen TX 76542-6470 |
| Practice Telephone | 8134094146 |
| Mailing Telephone | 8134094146 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1744P3200X | 05 |
| Street Address |
3309 PARKMILL DR |
| City | KILLEEN |
| State | TX |
| Zip Code | 76542-6470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839446 | Phuong Lan Carter | Counselor | 9312 Bowlfield Drive, Killeen, TX 76542 | 2019-12-30 |
| 1083252209 | Killeen Dental and Orthodontics Pllc | Dentist | 2620 Trimmier Rd, Killeen, TX 76542 | 2019-12-18 |
| 1750935391 | Leo Mora Therapy Services Pllc | Marriage & Family Therapist | 400 W. Jasper Dr. Ste. 100b, Killeen, TX 76542 | 2019-08-01 |
| 1730742305 | Angela Eads | Behavioral Analyst | 3106 S Ws Young Dr, Building A, Suite 104/105, Killen, TX 76542 | 2019-04-18 |
| 1801370572 | Keri Keller | Dentist | 507 W Stan Schlueter Loop Ste 400, Killeen, TX 76542 | 2018-09-19 |
| 1740787209 | Cynthia Waller | Speech-Language Pathologist | 4205 Old Florence Road, Killeen, TX 76542 | 2018-04-11 |
| 1275034597 | Killeen Modern Dentistry, PC | Dentist | 507 W Stan Schlueter Loop, Suite 104, Killeen, TX 76542 | 2018-02-22 |
| 1780182691 | Jennifer Monique Coleman | Counselor | 9706 Shimla Drive, Killeen, TX 76542 | 2018-01-25 |
| 1255870440 | Glori Sommerer | Counselor | 100 S Central Texas Expressway, # 208, Harker Heights, TX 76542 | 2017-02-21 |
| 1306382775 | Dana Michelle Kerekes | Massage Therapist | 5001 Teal Drive, Killeen, TX 76542 | 2017-01-10 |
| Find all providers in zip 76542 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881230845 | Laticia Scott Suesberry | Specialist | 4200 W Stan Schlueter Loop Ste B200, Killeen, TX 76549-6937 | 2019-11-25 |
| 1164081444 | Sabrina Maria Cogborn | Specialist | 5201 S Clear Creek Rd, Killeen, TX 76549-5121 | 2019-06-10 |
| 1710494802 | Inspired Designs Hair Salon & Barbershop & Spa LLC | Specialist | 3901 E Stan Schlueter Loop Ste 201, Killeen, TX 76542-4554 | 2018-01-10 |
| 1043723190 | Warnita Foster | Specialist | 3302 Cricklewood Dr, Killeen, TX 76542-6386 | 2017-11-12 |
| 1669920575 | Derina Horton-garcia | Specialist | 3901 E Stan Schlueter Loop, Ste 201, Killeen, TX 76542-4516 | 2016-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364390 | Majoreactions LLC | Specialist | 1628 W Hebron Pkwy Ste 103, Carrollton, TX 75010-6311 | 2020-10-22 |
| 1821602418 | Minty Bea | Specialist | 11070 Katy Fwy Apt 1271, Houston, TX 77043-4765 | 2020-09-01 |
| 1073123543 | Connie Lavonne Reid | Specialist | 216 Abel Dr, Glenn Heights, TX 75154-3862 | 2020-08-08 |
| 1245840933 | Shanikqu Lashun George | Specialist | 1515 N. Towneast Blvd., Suite 19, Mesquite, TX 75150 | 2020-08-06 |
| 1700495835 | Jonesia Melton | Specialist | 210 Highway 3 N Ste B, League City, TX 77573-2132 | 2020-07-24 |
| 1649888223 | Terry Lamont Jackson | Specialist | 1101 E Yandell Dr, El Paso, TX 79902-5524 | 2020-07-20 |
| 1033727656 | Janaye Rachelle White | Specialist | 8413 Almeda Rd Ste Q2, Houston, TX 77054-7103 | 2020-07-20 |
| 1316555022 | Eric Martell Buffington | Specialist | 16811 Fondness Park Dr, Spring, TX 77379-6928 | 2020-07-20 |
| 1720696479 | Younits Custom Wigs LLC | Specialist | 4909 W Park Blvd Ste 157, Plano, TX 75093-2399 | 2020-07-20 |
| 1003432089 | Tamika N Brown | Specialist | 12521 Nacogdoches Rd Ste 106, San Antonio, TX 78217-2117 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.