| NPI | 1326390899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C JERNBERG President 214-754-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |