Provider Demographics
NPI:1952000986
Name:NATHAN, MARKETIA LATONYA
Entity Type:Individual
Prefix:
First Name:MARKETIA
Middle Name:LATONYA
Last Name:NATHAN
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 1:11950 FM 1960 RD W APT 1028
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3696
Mailing Address - Country:US
Mailing Address - Phone:504-253-1505
Mailing Address - Fax:
Practice Address - Street 1:11950 FM 1960 RD W # 11950FM
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3893
Practice Address - Country:US
Practice Address - Phone:504-253-1505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide