Organization
DALLAS EMERGENCY PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C. JERNBERG M.D. (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2096
(214) 820-0111
(214) 712-2444
Mailing address
13737 NOEL RD, SUITE 1600, DALLAS, TX 75240-1331
(469) 401-2386
(214) 712-2444
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00558K
BLUE CROSS
TX
Enumeration date
05/10/2006
Last updated
02/06/2014
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