Individual
DR. EMILY LIGA PROSISE
Active
Individual
DR. EMILY LIGA PROSISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M9584
TX
207ND0101X
MOHS-Micrographic Surgery Physician
M9584
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021HW
BCBS GROUP NUMBER
—
01
—
8F9624
BCBS
—
01
—
CK3641
MEDICARE RAILROAD GROUP NUMBER
—
Enumeration date
08/13/2006
Last updated
07/15/2022
Update your record
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