Individual
MR. EMERY LEONARD CAPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2900 S LOOP 256, PALESTINE, TX 75801-6958
(903) 731-1000
(903) 677-5586
Mailing address
PO BOX 2127, ATHENS, TX 75751-7127
(903) 677-1000
(903) 677-1694
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
045539
TX
367500000X
Certified Registered Nurse Anesthetist
571292
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119988707
—
TX
Enumeration date
07/11/2006
Last updated
04/12/2018
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