Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | K9832 | TX |
N | 2080P0214X | Pediatric Pulmonologist | K9832 | TX |
NPI | 1598720658 |
---|---|
Provider Name | Azhar Latif |
First Address | Houston, TX 77266-6308 |
Second Address | Houston, TX 77074-5005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 07/02/2017 |