| NPI | 1194762559 |
|---|---|
| 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 |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-22 |