Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP124658 | TX |
NPI | 1003244955 |
---|---|
Provider Name | Emily Flathouse |
First Address | Lubbock, TX 79407-3545 |
Second Address | Lubbock, TX 79424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2013 |
Last Update Date | 18/03/2021 |