Emmons, Marisa Elaine

Emmons, Marisa Elaine is an individual health care provider with primary practice located at 2833 Babcock Rd Ste 203 , San Antonio TX 78229-4894. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Emmons, Marisa Elaine can be contacted via phone (210) 705-5100.

Contact Information

Primary practice address
2833 Babcock Rd Ste 203 San Antonio TX 78229-4894
Phone: (210) 705-5100
Fax: (210) 705-5106
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X N2068 Texas

Profile Details

NPI number 1174722367
LBN Legal business name Emmons, Marisa Elaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2007
Last updated Apr 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174722367 NPPES
Texas MEDICAID 280693701
Texas Other P02601719
Texas Other 1L4747
Texas Other P02601763
Texas MEDICAID 280693702

Popular Providers