Individual
EMILY G MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP07661
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP131643
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364345401
—
TX
01
—
P01748062
RR MEDICARE
TX
Enumeration date
02/04/2014
Last updated
08/25/2020
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