Provider Demographics
NPI:1689884728
Name:MORRISON, LATESHA CAROL
Entity Type:Individual
Prefix:MRS
First Name:LATESHA
Middle Name:CAROL
Last Name:MORRISON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 FM 3323
Mailing Address - Street 2:
Mailing Address - City:TURKEY
Mailing Address - State:TX
Mailing Address - Zip Code:79261-5110
Mailing Address - Country:US
Mailing Address - Phone:806-423-1201
Mailing Address - Fax:
Practice Address - Street 1:550 FM 3323
Practice Address - Street 2:
Practice Address - City:TURKEY
Practice Address - State:TX
Practice Address - Zip Code:79261-5110
Practice Address - Country:US
Practice Address - Phone:806-423-1201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker