Healthcare Provider Details

I. General information

NPI: 1629706239
Provider Name (Legal Business Name): EMILY CROPPER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2022
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4131 SPICEWOOD SPRINGS RD STE L2
AUSTIN TX
78759-8652
US

IV. Provider business mailing address

233 CYPRESS VIEW DR
JOHNSON CITY TX
78636-5533
US

V. Phone/Fax

Practice location:
  • Phone: 512-732-2122
  • Fax:
Mailing address:
  • Phone: 512-825-6900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA19240
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: