Individual
JENNIFER J EMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1253 N VON MINDEN ST, LA GRANGE, TX 78945-1262
(979) 968-8493
(979) 968-6388
Mailing address
1253 N VON MINDEN ST, LA GRANGE, TX 78945-1262
(979) 968-8493
(979) 968-6388
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06323
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206652401
—
TX
Enumeration date
07/01/2009
Last updated
07/16/2014
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