Provider Demographics
NPI:1912564121
Name:CAIN, EMILY CAROL (WHNP-BC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:CAROL
Last Name:CAIN
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:CAROL
Other - Last Name:CARDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:WHNP-BC
Mailing Address - Street 1:903 W MARTIN ST # MS 49-2
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-0903
Mailing Address - Country:US
Mailing Address - Phone:210-358-5909
Mailing Address - Fax:
Practice Address - Street 1:630 S GENERAL MCMULLEN DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78237-2005
Practice Address - Country:US
Practice Address - Phone:210-644-8500
Practice Address - Fax:210-644-8507
Is Sole Proprietor?:No
Enumeration Date:2019-05-22
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137571363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health