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NPI Code Detail

MEDICARE: TEXAS EM-1 MEDICAL SERVICES, PA

MEDICARE: TEXAS EM-1 MEDICAL SERVICES, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician
2363A00000XPhysician Assistant
3363L00000XNurse Practitioner

General Provider Information

NPI Number : 1649348319
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS EM-1 MEDICAL SERVICES, PA
Provider Business Mailing Address
First Line : 1717 MAIN ST
Second Line : SUITE 5200
City : DALLAS
State : TX
Zip : 75201-4612
Country : US
Telephone Number : 214-712-2000
Fax Number : 214-712-2487
Provider Business Practice Location Address
First Line : 2600 W PLEASANT RUN RD
Second Line :
City : LANCASTER
State : TX
Zip : 75146-1114
Country : US
Telephone Number : 972-223-9600
Fax Number : 214-712-2487
Authorized Official
Title or Position : PRESIDENT
Name : DR. WILLIAM C JERNBERG
Credential : MD
Telephone Number : 214-712-2000
Provider Enumeration Date : 12/01/2006
Last Update Date : 09/11/2025

Similar Medicare Providers

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75146-1114
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1902850142 — LANCASTER EMERGENCY PHYSICIANS, LLC
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Practice Fax:
1649294653 — DR. THOMAS L SHARP DO
Practice Location Address:
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1598789810 — DR. ROBERT VANCE DELL MD
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Practice Location Address:
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Practice Fax: 214-712-2487

Directions to “TEXAS EM-1 MEDICAL SERVICES, PA ” Practice Location

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