Organization
EMCARE HTN EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM C JERNBERG MD (PRESIDENT-GENERAL PARTNER)
(469) 401-2386
Entity
Organization
Contact information
Practice address
710 FM 1960 RD W, HOUSTON, TX 77090-3402
(281) 440-2146
(214) 712-2487
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
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
01
—
00U79B
BCBS
TX
Enumeration date
11/28/2006
Last updated
03/09/2014
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