LATASHA CROCKETT

FORT WORTH, TX
NPI1417661588
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TX  1091068)
Enumeration Date2023-01-12
Last Update Date2024-04-23
Business Address
LATASHA CROCKETT
6000 WESTERN PL STE 900
FORT WORTH, TX 76107-4691
Phone number: 817-740-8400
Mailing Address
LATASHA CROCKETT
5020 CHISHOLM VIEW DR
FORT WORTH, TX 76123-1575
Phone number: 254-413-3157
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