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NPI Code Detail

MEDICARE: MR. JEFFREY DAVID EMERY

MEDICARE: MR. JEFFREY DAVID EMERY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist201460TX

General Provider Information

NPI Number : 1225386089
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEFFREY DAVID EMERY
Provider Business Mailing Address
First Line : 100 CHESTNUT ST STE 101
Second Line :
City : ABILENE
State : TX
Zip : 79602-1440
Country : US
Telephone Number : 325-676-8963
Fax Number : 325-676-2915
Provider Business Practice Location Address
First Line : 100 CHESTNUT ST STE 101
Second Line :
City : ABILENE
State : TX
Zip : 79602-1440
Country : US
Telephone Number : 325-676-8963
Fax Number : 325-676-2915
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2012
Last Update Date : 08/27/2012

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Directions to “ MR. JEFFREY DAVID EMERY ” Practice Location

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