Organization
EDS-I PRACTICES OF TEXAS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM JERNBERG MD (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
1501 S COULTER ST, AMARILLO, TX 79106-1770
(806) 354-1000
Mailing address
13737 NOEL RD, SUITE 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
Enumeration date
03/12/2014
Last updated
03/25/2014
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