# BECK EMERGENCY PHYSICIANS

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

## Provider details

- **NPI number:** 1275577900
- **Authorized official:** DR. WILLIAM C. JERNBERG M.D. (PRESIDENT)
- **Authorized official phone:** (214) 712-2000

## Contact information

- **Practice address:** 2850 STATE HIGHWAY 114 E, TROPHY CLUB, TX 75146
- **Practice address phone:** (972) 548-7277
- **Practice address fax:** (214) 712-2487
- **Mailing address:** PO BOX 41556, PHILADELPHIA, PA 19101-1556
- **Mailing address phone:** (800) 355-3818
- **Mailing address fax:** (214) 712-2487

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0027NH | BLUE SHIELD | TX |