Ms Mildred B Latham, PA-C - Physician Assistant in Tulsa, OK

Ms Mildred B Latham, PA-C is a Physician Assistant based in Tulsa, Oklahoma. Ms Mildred B Latham is licensed to practice in Oklahoma (license number 1751) and her current practice location is 3606 N Cincinnati Ave, L.l.c., Tulsa, Oklahoma. She can be reached at her office (for appointments etc.) via phone at (918) 428-5373.

NPI number for Ms Mildred B Latham is 1417159179 and her current mailing address is 3606 N Cincinnati Ave, L.l.c., Tulsa, Oklahoma. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417159179.

Contact Information

Ms Mildred B Latham, PA-C
3606 N Cincinnati Ave, L.l.c.,
Tulsa, OK 74106-1536
(918) 428-5373
(918) 428-8235

Map and Direction




Provider's Profile

Full NameMs Mildred B Latham
GenderFemale
SpecialityPhysician Assistant
Location3606 N Cincinnati Ave, Tulsa, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417159179
  • Provider Enumeration Date: 06/04/2007
  • Last Update Date: 08/12/2008

Medical Identifiers

Medical identifiers for Ms Mildred B Latham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417159179NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 085002908 (Illinois)Secondary
363A00000XPhysician Assistant 1751 (Oklahoma)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Mildred B Latham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Mildred B Latham, PA-C
3606 N Cincinnati Ave, L.l.c.,
Tulsa, OK 74106-1536

Ph: (918) 428-5373
Ms Mildred B Latham, PA-C
3606 N Cincinnati Ave, L.l.c.,
Tulsa, OK 74106-1536

Ph: (918) 428-5373

Reviews and Comments


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