Fair Acres Emergency Physicians, Pllc

NPI #1093187817 in Grapevine, Texas

Provider Information

NPI Number: 1093187817
Entity Type: Organization
Organization Name: Fair Acres Emergency Physicians, Pllc
Primary Specialty: Emergency Medicine
Enumeration Date: Oct 21, 2015
Last Updated: Nov 4, 2015

Practice Location

Address: 1650 W COLLEGE ST
City: Grapevine
State: Texas
ZIP Code: 76051-3565
Phone: (469) 401-2386

Authorized Official

Name: WILLIAM C JERNBERG, M.D.
Title: OFFICER
Phone: (469) 401-2386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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