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Organization
TEXAS EM-I MEDICAL SERVICES PA
Active
Organization
TEXAS EM-I MEDICAL SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM C JERNBERG M.D. (PRESIDENT, GENERAL PARTNER)
(214) 712-2448
Entity
Organization
Contact information
Practice address
104 7TH ST, BAY CITY, TX 77414-4853
(979) 241-3319
(214) 712-2444
Mailing address
PO BOX 98698, LAS VEGAS, NV 89193-8698
(214) 712-2736
(214) 712-2444
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144091922
—
TX
Enumeration date
11/24/2006
Last updated
09/12/2013
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