# TEXAS EM-1 MEDICAL SERVICES, PA

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

## Provider details

- **NPI number:** 1851565345
- **Authorized official:** DR. WILLIAM C JERNBERG M.D. (PRESIDENT, GENERAL PARTNER)
- **Authorized official phone:** (214) 712-2000

## Contact information

- **Practice address:** 9110 BARKER CYPRESS STE 100, CYPRESS, TX 77433
- **Practice address phone:** (281) 890-4285
- **Mailing address:** 1717 MAIN ST STE 5200, DALLAS, TX 75201-7365
- **Mailing address phone:** (214) 712-2000

## Taxonomy

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

## Other

- **Enumeration date:** 04/16/2008
- **Last updated:** 04/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0059PS | BLUE CROSS BLUE SHIELD | TX |