# TEXAS EM-1 MEDICAL SERVICES, PA

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

## Provider details

- **NPI number:** 1477741486
- **Authorized official:** WILLIAM C. JERNBERG MD (PRESIDENT)
- **Authorized official phone:** (214) 712-2000

## Contact information

- **Practice address:** 115 AIRPORT RD, SULPHUR SPRINGS, TX 75482-2105
- **Practice address phone:** (903) 885-7671
- **Mailing address:** 1717 MAIN ST, SUITE 5200, DALLAS, TX 75201-4612
- **Mailing address phone:** (214) 712-2000
- **Mailing address fax:** (214) 712-2444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/04/2007
- **Last updated:** 01/19/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0055QQ | BCBS | TX |
| 05 | — | 152242709 | — | TX |