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Organization
WHITE IBIS INPATIENT SERVICES, PLLC
Active
Organization
WHITE IBIS INPATIENT SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM JERNBERG MD (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
301 DIVISION ST, GREENVILLE, TX 75401-4101
(903) 454-6000
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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