NPI | 1104993617 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM C JERNBERG President 214-712-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-11-29 |
Last Update Date | 2020-08-22 |