Provider Demographics
NPI:1316555923
Name:LATHAM FINK, M.D., PH.D., PLLC
Entity type:Organization
Organization Name:LATHAM FINK, M.D., PH.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:FINK
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:512-861-2907
Mailing Address - Street 1:2703 SOL WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-2556
Mailing Address - Country:US
Mailing Address - Phone:512-861-2907
Mailing Address - Fax:
Practice Address - Street 1:2703 SOL WILSON AVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702-2556
Practice Address - Country:US
Practice Address - Phone:512-861-2907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2023-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health