Healthcare Provider Details

I. General information

NPI: 1215972559
Provider Name (Legal Business Name): ROGER HILL EMERSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 10/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6020 W PARKER RD STE 470
PLANO TX
75093-8171
US

IV. Provider business mailing address

6020 W PARKER RD STE 470
PLANO TX
75093-8171
US

V. Phone/Fax

Practice location:
  • Phone: 972-608-8868
  • Fax: 972-608-0366
Mailing address:
  • Phone: 972-608-8868
  • Fax: 972-608-0366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberH1077
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: