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Individual

EMIKO N DUDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 358-5437
(210) 358-5476
Mailing address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 358-5437
(210) 358-9970

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP129237
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP129237
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
355320802
TX
01
355320803
CSHCN
TX
Enumeration date
12/06/2015
Last updated
06/20/2019
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