Healthcare Provider Details

I. General information

NPI: 1811582885
Provider Name (Legal Business Name): EMILY FRANCIS LEE PULIKAL NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. EMILY FRANCIS LEE PARSONS

II. Dates (important events)

Enumeration Date: 03/02/2021
Last Update Date: 10/18/2024
Certification Date: 10/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 S LAKELINE BLVD STE 100
CEDAR PARK TX
78613-2968
US

IV. Provider business mailing address

2500 S LAKELINE BLVD STE 100
CEDAR PARK TX
78613-2968
US

V. Phone/Fax

Practice location:
  • Phone: 512-345-8970
  • Fax: 512-345-6689
Mailing address:
  • Phone: 512-345-8970
  • Fax: 512-345-6689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2016023239
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF01210393
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: