Latisea Woodberry
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Texarkana, TX
NPI 1245087733 · NPPES record last updated May 2, 2024
Key facts
- NPI
- 1245087733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Practice address
- 2211 N Robison Rd Unit 6989
Texarkana, TX 75505-5779 - Phone
- (903) 293-4755
- NPI assigned
- May 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMSS Professions, LLC | Current |
Accepting new patients |
Locations
2211 N Robison Rd
Unit 6989
Texarkana, TX 75505
Phone (903) 293-4755
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Yes |
Addresses
Primary practice location
2211 N Robison Rd Unit 6989
Texarkana, TX 75505-5779
Mailing address
PO Box 6989
Texarkana, TX 75505-6989
Phone (903) 293-4755
Other providers in Texarkana, TX
- Kellie Dawn Winn
- Winnie-Stowell Hospital District
- Joseph Sean Womack
- Pui-Sum Susan Wong
- Sean Wood
- Walter W Woodruff
- Lashawn L Woods
- Jeffrey E. Woosley
- Samantha D Wooten
- Kathryn Worrell
All providers in Texarkana, TX · Non-emergency Medical Transport (VAN) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.