NPI | 1295928653 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM C JERNBERG President 214-712-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2007-08-20 |
Last Update Date | 2007-08-20 |