# TRADITIONS EMERGENCY MEDICINE PA

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

## Provider details

- **NPI number:** 1396786232
- **Authorized official:** WILLIAM JERNBERG MD (PRESIDENT)
- **Authorized official phone:** (469) 401-2386

## Contact information

- **Practice address:** 1604 ROCK PRAIRIE RD, COLLEGE STATION, TX 77845-8345
- **Practice address phone:** (979) 764-5100
- **Mailing address:** 13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
- **Mailing address phone:** (469) 401-2386
- **Mailing address fax:** (214) 712-2444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | TX | Yes |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 06/16/2014