# SSNT, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013256858
- **Authorized official:** WILLIAM JERNBERG MD (PRESIDENT)
- **Authorized official phone:** (469) 401-2386

## Contact information

- **Practice address:** 500 W MAIN ST, LEWISVILLE, TX 75057-3641
- **Practice address phone:** (972) 608-2025
- **Practice address fax:** (972) 608-2032
- **Mailing address:** 13737 NOEL RD, SUITE 1600, DALLAS, TX 75240-1331
- **Mailing address phone:** (469) 401-2386
- **Mailing address fax:** (214) 712-2444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0127X | Trauma Surgery Physician | — | NULL | Yes |
| 2086S0127X | Trauma Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2013
- **Last updated:** 01/26/2014