Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | TX758 | TX |
NPI | 1144261561 |
---|---|
Provider Name | Carla J Emery |
First Address | Austin, TX 78731-4945 |
Second Address | Austin, TX 78731-4956 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 06/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00SD10 | BCBS (01) | TX |
062914001 | CIGNA GOVT SVCS (01) | TX |
092842601 | (05) | TX |
181690 | USA MCO HEALTHNET (01) | TX |
T13172 | (02) | TX |