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Organization

NORTH TEXAS EMERGENCY PHYSICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM JERNBERG (OWNER)
(800) 355-0808
Entity
Organization

Contact information

Practice address
3500 IH 30, MESQUITE, TX 75150-2696
(972) 698-2000
(972) 698-2022
Mailing address
PO BOX 41672, PHILADELPHIA, PA 19101-1672
(214) 712-2000
(214) 712-2444

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0090HD
BLUE SHIELD
TX
Enumeration date
03/31/2008
Last updated
04/20/2008
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