Azhar Latif (NPI# 1598720658, PAC ID# 2264335553) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
Nation Provider ID (NPI) | 1598720658 |
PAC ID by PECOS | 2264335553 |
Professional Enrollment ID | I20150511001502 |
Full Name | Azhar Latif |
Organization Legal Name | WINNIE COMMUNITY HOSPITAL LLC |
Address |
538 Broadway Winnie TX 77665-7600 |
Phone Number | 4092966000 |
Gender | M |
Credential | MD |
Graduation Year | 1990 |
Primary Specialty | PEDIATRIC MEDICINE |
Secondary Specialties | PULMONARY DISEASE |
Group Practice PAC ID | 3375440894 |
Number of Group Practice Members | 12 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
451328 | RICELAND MEDICAL CENTER |
670109 | ALTUS BAYTOWN HOSPITAL |
Address | Phone | Organization |
---|---|---|
538 Broadway, Winnie, TX 77665-7600 | 4092966000 | WINNIE COMMUNITY HOSPITAL LLC |
Organization Legal Name | WINNIE COMMUNITY HOSPITAL LLC |
Physicians | 12 |
Name | Specialty | Organization | Address |
---|---|---|---|
Chelsi Renee Harrison | Nurse Practitioner | Winnie Community Hospital LLC | 1305 S Main St, Riceland Clinic Jasper, Jasper, TX 75951-4739 |
Alicia D Scoggins | Nurse Practitioner | Winnie Community Hospital LLC | 85 Ih 10 N, 112 Riceland Clinic Regents, Beaumont, TX 77707-2560 |
Brooke Ann Manuel | Nurse Practitioner | Winnie Community Hospital LLC | 515 S Archie St, Riceland Clinic Vidor, Vidor, TX 77662-4868 |
Brent L Mainwaring | Diagnostic Radiology | Winnie Community Hospital LLC | 3405 College St, Beaumont, TX 77701-4613 |
Danny L Thompson | Physician Assistant | Winnie Community Hospital LLC | 538 Broadway, Winnie, TX 77665-7600 |
James L Slayton Jr. | Internal Medicine | Winnie Community Hospital LLC | 515 S Archie St, Riceland Clinic Vidor, Vidor, TX 77662-4868 |
Sarah Sweeney | Podiatry | Winnie Community Hospital LLC | 538 Broadway, Winnie, TX 77665-7600 |
Angela Rainey | Nurse Practitioner | Winnie Community Hospital LLC | 538 Broadway, Winnie, TX 77665-7600 |
Daylon Douglas Long | Nurse Practitioner | Winnie Community Hospital LLC | 538 Broadway, Winnie, TX 77665-7600 |
Nedrana Boutte | Family Medicine | Winnie Community Hospital LLC | 538 Broadway, Winnie, TX 77665-7600 |
Street Address |
538 BROADWAY |
City | WINNIE |
State | TX |
Zip | 77665-7600 |
Name | Specialty | Organization | Address |
---|---|---|---|
Danny L Thompson | Physician Assistant | Winnie Community Hospital LLC | 538 Broadway, Winnie, TX 77665-7600 |
Sarah Sweeney | Podiatry | Winnie Community Hospital LLC | 538 Broadway, Winnie, TX 77665-7600 |
Angela Rainey | Nurse Practitioner | Winnie Community Hospital LLC | 538 Broadway, Winnie, TX 77665-7600 |
Daylon Douglas Long | Nurse Practitioner | Winnie Community Hospital LLC | 538 Broadway, Winnie, TX 77665-7600 |
Nedrana Boutte | Family Medicine | Winnie Community Hospital LLC | 538 Broadway, Winnie, TX 77665-7600 |
Naseer Khan | Family Medicine | Winnie Community Hospital LLC | 538 Broadway, Winnie, TX 77665-7600 |
City | WINNIE |
Zip Code | 77665 |
Specialty | PEDIATRIC MEDICINE |
City + Specialty | WINNIE + PEDIATRIC MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.