Texas Em-I Medical Services, PA
Internal Medicine in Killeen, TX. Organization (NPI-2).
NPI number1104915917
StatusActive
Last updated in NPPESMar 24, 2008
Details
- NPI
- 1104915917
- Entity type
- Organization (NPI-2)
- Legal business name
- Texas Em-I Medical Services, PA
- Organization subpart
- No
- Enumeration date
- Oct 11, 2006
- Last updated
- Mar 24, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | N/A | – | Yes |
Practice location
2201 S Clear Creek RdKilleen, TX 76549-4110
Phone 254-519-8513
Mailing address
1717 Main StSuite 5200
Dallas, TX 75201-4612
Phone 214-712-2403
Authorized official
William C Jernberg
Owner
2147122000
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