Provider Demographics
NPI:1639492069
Name:DOUBT, EMILY ELAINE (DC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ELAINE
Last Name:DOUBT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3951 W PARMER LANE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-4126
Mailing Address - Country:US
Mailing Address - Phone:512-339-2663
Mailing Address - Fax:512-248-0034
Practice Address - Street 1:3951 W PARMER LANE
Practice Address - Street 2:SUITE 300
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78727-4126
Practice Address - Country:US
Practice Address - Phone:512-339-2663
Practice Address - Fax:512-248-0034
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-12
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60138053111N00000X
TX12423111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor