Emerson, Terry

Emerson, Terry is an individual health care provider with primary practice located at 1400 S Coulter St , Amarillo TX 79106-1786. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is his primary health care specialty. Emerson, Terry can be contacted via phone (806) 414-9800.

Contact Information

Primary practice address
1400 S Coulter St Amarillo TX 79106-1786
Phone: (806) 414-9800
Fax: (806) 356-4673
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 252210 Texas
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 252210 Texas
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X AP104642 Texas

Profile Details

NPI number 1073792107
LBN Legal business name Emerson, Terry
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2007
Last updated May 3rd, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073792107 NPPES
Oklahoma MEDICAID 200079990A
Oklahoma MEDICAID 187731803
Oklahoma MEDICAID 187731801
Oklahoma MEDICAID 1877
Oklahoma MEDICAID 187731802
Oklahoma MEDICAID 187731804
Oklahoma MEDICAID 36258270

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