| NPI | 1104993617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C JERNBERG President 214-712-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2025-09-11 |