Provider Demographics
NPI:1447063110
Name:CROSS, LATOSHIA (RDMS)
Entity type:Individual
Prefix:MRS
First Name:LATOSHIA
Middle Name:
Last Name:CROSS
Suffix:
Gender:F
Credentials:RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22449 POMINA ST
Mailing Address - Street 2:
Mailing Address - City:PORTER
Mailing Address - State:TX
Mailing Address - Zip Code:77365-1359
Mailing Address - Country:US
Mailing Address - Phone:346-791-3706
Mailing Address - Fax:832-787-1270
Practice Address - Street 1:810 E 1ST ST
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4788
Practice Address - Country:US
Practice Address - Phone:346-791-3706
Practice Address - Fax:832-787-1270
Is Sole Proprietor?:No
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1489252085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound