Organization
OPEN VISTA EMERGENCY PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C JERNBERG M.D. (OFFICER)
(469) 401-2386
Entity
Organization
Contact information
Practice address
801 N BEDELL AVE, DEL RIO, TX 78840-4112
(469) 401-2386
Mailing address
PO BOX 98945, LAS VEGAS, NV 89193-8684
(469) 401-2386
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/21/2015
Last updated
11/04/2015
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