Marisa Elaine Emmons, MD
Individual provider Active NPI Family Medicine Physician · San Antonio, TX
NPI 1174722367 · NPPES record last updated Sep 9, 2026
Key facts
- NPI
- 1174722367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- N2068 (TX)
- Practice address
- 2833 Babcock Rd Ste 203
San Antonio, TX 78229-4894 - Phone
- (210) 705-5100
- Fax
- (210) 705-5106
- NPI assigned
- Jul 17, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Owned or controlled facilities with NPI records 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christus Trinity Clinic Texas
Practice addresses (Care Compare)
2833 Babcock Rd
Suite 435
San Antonio, TX 78229-4850
Phone (210) 705-5060
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Mar 1, 2020 |
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Mar 1, 2020 |
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Mar 1, 2020 |
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Mar 1, 2020 |
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Mar 1, 2020 |
| Christus Trinity Clinic |
Rural health clinic | Corporate Director | Mar 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110412000212 | TX | Practitioner - Family Practice | 3678757986 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N2068 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C H Wilkinson Physician Network | Family Medicine | Current |
Accepting new patients |
| Christus Trinity Clinic Texas | Family Medicine | Current |
Accepting new patients |
| C H Wilkinson Physician Network | Current |
Accepting new patients | |
| Christus Trinity Clinic Texas | Current |
Accepting new patients |
Locations
919 Hidden Rdg
Fl 6
Irving, TX 75038
Phone (469) 282-2711
1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701
2833 Babcock Rd
Ste 203
San Antonio, TX 78229
Phone (210) 267-1709
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
- memmons175507@christushealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N2068 | TX | Yes |
Addresses
Primary practice location
2833 Babcock Rd Ste 203
San Antonio, TX 78229-4894
Mailing address
919 Hidden RDG FL 6
Irving, TX 75038-3813
Phone (469) 282-2711
Other practice location 1
11823 Culebra Rd Ste 105
San Antonio, TX 78253-4563
Phone (210) 598-1517
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280693701 | Medicaid | TX | |
| P02601719 | Other | TX | MCRR |
| 1L4747 | Other | TX | MEDICARE |
| P02601763 | Other | TX | MCRR |
| 280693702 | Medicaid | TX |
Other providers in San Antonio, TX
- Kiara Emmers
- Frank Erwin Emmett
- Cara Emmons-Castaneda
- Brooke Ann Emmons
- Katie Emmons
- Emory Dentistry PLLC
- Empathy Mental Health PLLC
- Empatia Counseling Servicees, PLLC
- Manuel Rosette Emperador Jr.
- Empire Dental
All providers in San Antonio, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.