Provider Demographics
NPI:1083181945
Name:LAND, EMILY FRANCES
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:FRANCES
Last Name:LAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 W MARSHALL AVE
Mailing Address - Street 2:
Mailing Address - City:COOPER
Mailing Address - State:TX
Mailing Address - Zip Code:75432
Mailing Address - Country:US
Mailing Address - Phone:903-513-8713
Mailing Address - Fax:
Practice Address - Street 1:1041 W MARSHALL AVE
Practice Address - Street 2:
Practice Address - City:COOPER
Practice Address - State:TX
Practice Address - Zip Code:75432
Practice Address - Country:US
Practice Address - Phone:903-513-8713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-30
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant