Provider Demographics
NPI:1508746363
Name:CROSS, EMILY RECKART
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:RECKART
Last Name:CROSS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 N MAIN ST APT 3115
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-3971
Mailing Address - Country:US
Mailing Address - Phone:214-684-7330
Mailing Address - Fax:
Practice Address - Street 1:1400 N MAIN ST APT 3115
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-3971
Practice Address - Country:US
Practice Address - Phone:214-684-7330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX756326163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health