Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 35270 | TX |
Y | 213EG0000X | General Practice | 35270 | TX |
NPI | 1003477746 |
---|---|
Provider Name | Dr. Emily Markle |
First Address | Texarkana, TX 75501-2459 |
Second Address | Texarkana, TX 75503-3018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2019 |
Last Update Date | 24/06/2019 |