Provider Demographics
NPI:1538473186
Name:FARIS, EMMA LEIGH (CPM, LM)
Entity type:Individual
Prefix:DR
First Name:EMMA
Middle Name:LEIGH
Last Name:FARIS
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:DR
Other - First Name:EMMA
Other - Middle Name:LEIGH
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DACCHM, LM, CPM
Mailing Address - Street 1:2918 RANCH ROAD 620 N UNIT 185
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78734-2264
Mailing Address - Country:US
Mailing Address - Phone:512-537-7636
Mailing Address - Fax:512-337-2706
Practice Address - Street 1:2421 CORRIENTE PATH
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-5623
Practice Address - Country:US
Practice Address - Phone:512-801-9102
Practice Address - Fax:512-337-2706
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-05
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99101176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife