Individual provider · Type 1 NPI
Latorsha E. Petry
Private Vehicle · Pearland, TX
NPI number
1366814196
Active
Practice location
1920 Cayman Bend Ln
Pearland, TX 77584-1865
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | 47-5033066 (TX) |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
About NPI 1366814196
Latorsha E. Petry's National Provider Identifier is 1366814196, issued on Oct 20, 2015. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Pearland, TX. The record was last updated on Oct 20, 2015.