Emmons, Jacqueline

Emmons, Jacqueline is an individual health care provider with primary practice located at 4770 Regent Blvd , Irving TX 75063-2445. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Emmons, Jacqueline can be contacted via phone (972) 934-4300.

Contact Information

Primary practice address
4770 Regent Blvd Irving TX 75063-2445
Phone: (972) 934-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X M9264 Texas

Profile Details

NPI number 1437352044
LBN Legal business name Emmons, Jacqueline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2007
Last updated Jul 21st, 2022 - about 3 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 1437352044 NPPES
Other BP1-0017679 INSTITUTIONAL PERMIT

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