Provider Demographics
NPI:1952413510
Name:LATIF, UMAR (MD)
Entity Type:Individual
Prefix:
First Name:UMAR
Middle Name:
Last Name:LATIF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5999 CUSTER RD # 110-355
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-9302
Mailing Address - Country:US
Mailing Address - Phone:940-365-5711
Mailing Address - Fax:940-365-5722
Practice Address - Street 1:8800 US HIGHWAY 380
Practice Address - Street 2:SUITE 600
Practice Address - City:CROSS ROADS
Practice Address - State:TX
Practice Address - Zip Code:76227
Practice Address - Country:US
Practice Address - Phone:940-365-5711
Practice Address - Fax:940-365-5722
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM11972084P0805X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry