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Organization
TEXAS EM-1 MEDICAL SERVICES PA
Active
Organization
TEXAS EM-1 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
1313 HERMANN DRIVE, HOUSTON, TX 77004-7005
(713) 527-5129
(214) 712-2487
Mailing address
1717 MAIN ST, STE:5200, DALLAS, TX 75201-7365
(214) 712-2448
(214) 712-2487
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
—
081343802
—
TX
Enumeration date
11/22/2006
Last updated
02/20/2009
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