Organization
TEXAS EM I MEDICAL SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C JERNBERG (OWNER)
(214) 712-2000
Entity
Organization
Contact information
Practice address
104 7TH ST, BAY CITY, TX 77414-4853
(979) 241-3319
Mailing address
13737 NOEL RD, SUITE 1600, DALLAS, TX 75240-1331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/17/2013
Last updated
09/12/2013
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