Provider Demographics
NPI:1790916245
Name:BOOKER, LATANIA YVETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:LATANIA
Middle Name:YVETTE
Last Name:BOOKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LATANIA
Other - Middle Name:YVETTE
Other - Last Name:BOTLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9321 KIRBY DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2516
Mailing Address - Country:US
Mailing Address - Phone:713-797-6431
Mailing Address - Fax:
Practice Address - Street 1:9321 KIRBY DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2516
Practice Address - Country:US
Practice Address - Phone:713-797-6431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-22180208M00000X
TXP4143207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist