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Organization
EL PASO ACUTE TRAUMA SPECIALISTS PLLC
Active
Organization
EL PASO ACUTE TRAUMA SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM JERNBERG MD (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
10301 GATEWAY BLVD W, EL PASO, TX 79925-7701
(915) 594-1000
(915) 594-1007
Mailing address
13737 NOEL RD, SUITE 1600, DALLAS, TX 75240-1331
(469) 401-2386
(214) 712-2444
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
Primary
—
NULL
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Enumeration date
02/14/2013
Last updated
01/24/2014
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