White Ibis Inpatient Services, Pllc

NPI #1245656305 in Greenville, Texas

Provider Information

NPI Number: 1245656305
Entity Type: Organization
Organization Name: White Ibis Inpatient Services, Pllc
Primary Specialty: Emergency Medicine
Enumeration Date: Mar 13, 2014
Last Updated: Mar 13, 2014

Practice Location

Address: 301 DIVISION ST
City: Greenville
State: Texas
ZIP Code: 75401-4101
Phone: (903) 454-6000

Authorized Official

Name: WILLIAM JERNBERG, MD
Title: PRESIDENT
Phone: (469) 401-2386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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