Vincent Lattanze, MD
Military Health Care Provider in Jbsa Ft Sam Houston, TX. Individual provider (NPI-1).
NPI number1104764018
StatusActive
Last updated in NPPESMay 29, 2026
Details
- NPI
- 1104764018
- Entity type
- Individual (NPI-1)
- Name
- Vincent Lattanze
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2026
- Certification date
- May 29, 2026
- Last updated
- May 29, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171000000X | Military Health Care Provider | – | – | Yes |
Practice location
3551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504
Phone 210-916-7500
Mailing address
3551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504
Phone 210-916-7500
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 107 Military Health Care Provider providers in Jbsa Ft Sam Houston · All 662 providers in Jbsa Ft Sam Houston
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