Basic Information
Provider Information
NPI: 1255841706
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CUYLER
FirstName: EMILY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4303 VICTORY DR
Address2:  
City: AUSTIN
State: TX
PostalCode: 787047507
CountryCode: US
TelephoneNumber: 4329789473
FaxNumber:  
Practice Location
Address1: 4303 VICTORY DR
Address2:  
City: AUSTIN
State: TX
PostalCode: 787047507
CountryCode: US
TelephoneNumber: 1246236275
FaxNumber: 5124623431
Other Information
ProviderEnumerationDate: 10/10/2017
LastUpdateDate: 04/18/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP2300XAP135410TXN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
363LF0000XAP135410TXY193200000X MULTI-SPECIALTY GROUPPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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