Individual
EMMA L. KORSHUKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
3320 LIVE OAK ST FL 5, EAST DALLAS WOMEN'S HEALTH CENTER, DALLAS, TX 75204-6109
(214) 266-1200
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
591946
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103311004
—
TX
05
—
196803401
—
TX
05
—
196803402
—
TX
05
—
196803403
—
TX
05
—
196803404
—
TX
05
—
196803405
—
TX
05
—
196803406
—
TX
05
—
196803407
—
TX
05
—
196803408
—
TX
05
—
196803409
—
TX
05
—
196803410
—
TX
01
—
8Y3533
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/21/2006
Last updated
06/01/2009
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