Latiba Desiree Cummings, MPA, PA-C Valid NPI
Individual provider · Medical Physician Assistant · Fort Sam Houston, TX
- NPI
- 1285624775
- Type
- Individual (Type 1)
- Primary specialty
- Medical Physician Assistant (Physician Assistant)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363AM0700X
- License number
- PA05283 (TX)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2005-10-26
- Last updated
- 2019-09-17
Practice location
3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-4501
(210) 916-2347