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General NPI Number Information
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NPI Number | 1619864618
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Entity Type | Individual
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Provider Name | EMILEE HURST ANTHONY OD
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Gender | Female
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 1280 SAM RAYBURN HWY STE 600
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City | MELISSA
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State | TX
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Zip | 75454-2246
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Country | US
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Telephone | 972-837-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 2604 CENTENARY DR
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City | FLOWER MOUND
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State | TX
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Zip | 75028-4548
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Country | US
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Telephone | 806-570-8206
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 11403TG
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License Number State | TX
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