Provider Demographics
NPI:1801151147
Name:STEELE, LATASHA KAYE (MD)
Entity type:Individual
Prefix:DR
First Name:LATASHA
Middle Name:KAYE
Last Name:STEELE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5757 WOODWAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057
Mailing Address - Country:US
Mailing Address - Phone:713-791-9100
Mailing Address - Fax:713-791-1016
Practice Address - Street 1:5757 WOODWAY DR STE 101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-1590
Practice Address - Country:US
Practice Address - Phone:713-791-9100
Practice Address - Fax:713-791-1016
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR3438207V00000X
390200000X
VA0101254381207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1801151147Medicaid
VA1801151147Medicare NSC
VA1801151147Medicaid