Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 02006 | TX |
NPI | 1144668500 |
---|---|
Provider Name | Mrs. Sandra Saladino Embry |
First Address | Kemp, TX 75143 |
Second Address | Canton, TX 75103-3311 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2013 |
Last Update Date | 07/06/2013 |