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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 JERNBERG MD (PRESIDENT)
(214) 712-2000
Entity
Organization
Contact information
Practice address
100A E ALTON GLOOR BLVD, BROWNSVILLE, TX 78526-3375
(956) 350-7000
Mailing address
1717 MAIN ST, STE:5200, DALLAS, TX 75201-4612
(214) 712-2000
(214) 712-2487
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
364SE0003X
Emergency Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144091930
—
TX
Enumeration date
05/23/2006
Last updated
04/29/2009
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