Laterrica Mitchell
Individual provider Active NPI Licensed Vocational Nurse · Kountze, TX
NPI 1326786153 · NPPES record last updated May 23, 2022
Key facts
- NPI
- 1326786153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 336040 (TX)
- Practice address
- 3149 Timber Hollow Rd
Kountze, TX 77625-9075 - Phone
- (409) 926-7519
- NPI assigned
- May 23, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336040 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 336040 | TX | Yes |
Addresses
Primary practice location
3149 Timber Hollow Rd
Kountze, TX 77625-9075
Mailing address
3149 Timber Hollow Rd
Kountze, TX 77625-9075
Other providers in Kountze, TX
- Kountze Dentistry PLLC
- Kountze Pharmacy LLC
- Christina Matouk
- Medical Clinic of Hardin County
- Medical Clinic of Hardin County LLC
- Oakbend Medical Center
- Casandra Palermo
- Aline Platt
- Angela Ann Richardson
- Missy Jo Rigmaiden
All providers in Kountze, TX · Licensed Vocational Nurse 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 23, 2022. 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.