Jerry Latham Od PC

NPI #1962533810 in Bedford, Texas

Provider Information

NPI Number: 1962533810
Entity Type: Organization
Organization Name: Jerry Latham Od PC
Primary Specialty: Optometrist
Enumeration Date: Mar 9, 2007
Last Updated: Mar 2, 2009

Practice Location

Address: 2600 HARWOOD RD
City: Bedford
State: Texas
ZIP Code: 76021-3700
Phone: (817) 571-6688

Authorized Official

Name: JERRY L LATHAM, O.D.
Title: OWNER
Phone: (817) 571-6688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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