David Allen Latham, M.D.
Individual provider Active NPI Family Medicine Physician · Fairfield, TX
NPI 1992986368 · NPPES record last updated Aug 22, 2016
Key facts
- NPI
- 1992986368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- M9440 (TX)
- Practice address
- 125 Newman St
Fairfield, TX 75840-1419 - Phone
- (903) 644-6652
- Fax
- (903) 644-1604
- NPI assigned
- Nov 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25781 | OK | MD | Family Medicine Physician |
| M9440 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brazos Valley Emergency Physicians PA | Emergency Medicine | Past | Accepting new patients |
| Emergency Physicians of Park Hudson PLLC | Emergency Medicine | Past | Accepting new patients |
| Bonner Emergency Medicine Associates PA | Emergency Medicine | Past | Accepting new patients |
| Bellville Hospital District | Emergency Medicine | Past | Accepting new patients |
| Lagrange-True Texas Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
Interoperability endpoints
- fmcdlatha@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M9440 | TX | Yes |
| Emergency Medicine Physician | 207P00000X | M9440 | TX | |
| Family Medicine Physician | 207Q00000X | 25781 | OK |
Addresses
Primary practice location
125 Newman St
Fairfield, TX 75840-1419
Mailing address
125 Newman St
Fairfield, TX 75840-1419
Phone (903) 644-6652
Other providers in Fairfield, TX
- Hearts of Gladys We Care LLC
- Hometown Pharmacy
- Geneva Elaine Honeycutt
- Carl Andrew Johnson
- James Kerbacher
- Beverly Levels
- Liberty County Hospital District No. 1
- Katrina Logan
- Madison Rose Lopez
- David Lott
All providers in Fairfield, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2016. 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.