Organization
TEXAS EM-1 MEDICAL SERVICES, PA
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
3000 HERRING AVE, WACO, TX 76708-3239
(254) 202-8611
(214) 712-2487
Mailing address
1717 MAIN ST, SUITE 5200, DALLAS, TX 75201-4612
(214) 712-2489
(214) 712-2487
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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