Organization
GRAYSON EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM C. JERNBERG MD (PRESIDENT)
(214) 712-2000
Entity
Organization
Contact information
Practice address
1000 MEMORIAL DR, DENISON, TX 75020-2035
(903) 416-4181
(903) 416-4182
Mailing address
PO BOX 7277, PHILADELPHIA, PA 19101-7277
(800) 355-0808
(214) 712-2444
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0096LT
BCBS
TX
Enumeration date
05/11/2006
Last updated
04/20/2008
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