Grapevine Emergency Physicians Pllc

NPI #1770650483 in Grapevine, Texas

Provider Information

NPI Number: 1770650483
Entity Type: Organization
Organization Name: Grapevine Emergency Physicians Pllc
Primary Specialty: Emergency Medicine
Enumeration Date: Nov 29, 2006
Last Updated: Dec 23, 2013

Practice Location

Address: 1650 W COLLEGE ST
City: Grapevine
State: Texas
ZIP Code: 76051-3565
Phone: (817) 488-7546

Authorized Official

Name: DR. WILLIAM C JERNBERG, MD
Title: PRESIDENT
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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