Doctor Name: | EMILY FLATHOUSE |
NPI Number: | 1003244955 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 786555 |
Business Practice Address: | 4105 Interstate 27 Lubbock, TX - 794042749 |
Business Phone Number: | 8067622633 |
Business Fax Number: | 8067610431 |
Mailing Address: | 5219 City Bank Pkwy, Suite 135 LUBBOCK |
State: | TX |
Postal Code: | 794073544 |
Phone Number: | 8067610333 |
Fax Number: | 8067222908 |
NPI Enumeration Date: | 10/30/2013 |
NPI Last Update Date: | 07/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 786555 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |