Individual provider · Type 1 NPI

Latha Mathew Thomas, RN, FNP

Family Nurse Practitioner · Fort Worth, TX

NPI number 1225449788 Active

Practice location

3529 Heritage Trace Pkwy Ste 137
Fort Worth, TX 76244-4971

Mailing address

1609 Creekvista Ct
Keller, TX 76248-6869

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000XAP125392 (TX)
Family Nurse Practitioner Primary 363LF0000XAP125392 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1225449788

Latha Mathew Thomas, RN, FNP's National Provider Identifier is 1225449788, issued on May 17, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Worth, TX. The record was last updated on Feb 26, 2022.