| NPI | 1588849855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLAM C JERNBERG President 214-712-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |