DAMIAN LATHAM

PLANO, TX
NPI1871221150
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: TX  2157440)
Enumeration Date2022-08-12
Last Update Date2022-08-12
Business Address
DAMIAN LATHAM
4045 W 15TH ST
PLANO, TX 75093-5891
Phone number: 972-479-5923
Mailing Address
DAMIAN LATHAM
3112 FALKLAND RD
CARROLLTON, TX 75007-3513
Phone number: 618-367-3455