| NPI | 1124065735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C. JERNBERG President 214-712-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2008-03-24 |