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General NPI Number Information
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NPI Number | 1851565345
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Entity Type | Organization
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Legal Business Name | TEXAS EM-1 MEDICAL SERVICES, PA
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 9110 BARKER CYPRESS STE 100
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City | CYPRESS
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State | TX
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Zip | 77433
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Country | US
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Telephone | 281-890-4285
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Fax |
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Provider Business Mailing Address
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Address Line | 1717 MAIN ST STE 5200
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City | DALLAS
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State | TX
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Zip | 75201-7365
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Country | US
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Telephone | 214-712-2000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, GENERAL PARTNER
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Name | DR. WILLIAM C JERNBERG
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Credential | M.D.
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Telephone | 214-712-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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