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Individual
EMILY CARR
Active
Individual
EMILY CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10065
TX
363AS0400X
Surgical Physician Assistant
594227
TX
363AS0400X
Surgical Physician Assistant
PA10065
TX
Other
Enumeration date
10/14/2015
Last updated
05/15/2023
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