Individual provider · Type 1 NPI

Latiba Desiree Cummings, MPA, PA-C

Medical Physician Assistant · Fort Sam Houston, TX

NPI number 1285624775 Active

Practice location

3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-4501

Mailing address

23919 Seven Winds
San Antonio, TX 78258-7265

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA05283 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1285624775

Latiba Desiree Cummings, MPA, PA-C's National Provider Identifier is 1285624775, issued on Oct 26, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Sep 17, 2019.