MEDICARE: ASHLEY TERESA EMMEL PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	PA14479	TX

General Provider Information

NPI Number	:	1245821107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY TERESA EMMEL PA-C

Provider Business Mailing Address
First Line	:	2224 7TH AVE
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-5653
Country	:	US
Telephone Number	:	972-821-8020
Fax Number	:

Provider Business Practice Location Address
First Line	:	6201 HARRY HINES BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-0001
Country	:	US
Telephone Number	:	214-633-4700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2021
Last Update Date	:	12/05/2025

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