Provider Demographics
NPI:1902887953
Name:WHITE, EMILY AFTON (FNP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:AFTON
Last Name:WHITE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7909 FREDERICKSBURG RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3425
Mailing Address - Country:US
Mailing Address - Phone:210-731-2050
Mailing Address - Fax:210-679-3724
Practice Address - Street 1:18915 MEISNER DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4223
Practice Address - Country:US
Practice Address - Phone:210-731-2050
Practice Address - Fax:210-679-3724
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX657178363L00000X, 363LX0001X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB149993Medicare PIN
TXQ52067Medicare UPIN
TX350634YNQMMedicare PIN
TX8D9803Medicare PIN