Healthcare Provider Details

I. General information

NPI: 1144261561
Provider Name (Legal Business Name): CARLA J EMERY D.P.M., PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARLA EMERY CULBERSON D.P.M., PA

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 06/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3303 NORTHLAND DRIVE SUITE 308
AUSTIN TX
78731-4956
US

IV. Provider business mailing address

3303 NORTHLAND DR SUITE 308
AUSTIN TX
78731-4945
US

V. Phone/Fax

Practice location:
  • Phone: 512-420-0808
  • Fax: 512-420-0969
Mailing address:
  • Phone: 512-420-0808
  • Fax: 512-420-0969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberTX758
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: