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Contact Information

TEXAS EM-1 MEDICAL SERVICES, PA
2850 E. STATE HIGHWAY 114
TROPHY CLUB, TX76262
 Phone: 682-831-1700
 Fax: 214-712-2487
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TEXAS EM-1 MEDICAL SERVICES, PA

NPI # 1730257643
LBN Legal business name TEXAS EM-1 MEDICAL SERVICES, PA
Authorized official WILLIAM JERNBERG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/30/2006
Last updated 09/02/2009 - About 17 years ago
Identifiers
TX Medicaid 1324175
TX Other DO2378 RAILROAD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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