Provider Demographics
NPI:1356109458
Name:BRIGGS, LATACHA BEATRICE (CCHT)
Entity type:Individual
Prefix:
First Name:LATACHA
Middle Name:BEATRICE
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:CCHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6535 CARLY PARK WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-1395
Mailing Address - Country:US
Mailing Address - Phone:832-235-4894
Mailing Address - Fax:
Practice Address - Street 1:6535 CARLY PARK WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-1395
Practice Address - Country:US
Practice Address - Phone:832-235-4894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-12
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No2472R0900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherRenal Dialysis