North Texas Emergency Physicians

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

NORTH TEXAS EMERGENCY PHYSICIANS

Practice address

3500 Ih 30
Mesquite, TX 75150-2696

Phone

(972) 698-2000

Fax

(972) 698-2022

NPI assigned

Mar 31, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Jernberg

Title

Owner

Phone

(800) 355-0808

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1326210204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41672",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191011672",
            "telephone_number": "214-712-2000",
            "fax_number": "214-712-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 IH 30",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502696",
            "telephone_number": "972-698-2000",
            "fax_number": "972-698-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS EMERGENCY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "JERNBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-355-0808"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0090HD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Nnaji
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• North Texas Behavioral Services
• North Texas Family Clinic PA
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• North Texas Neurological Associates
• North Texas Premier Wound Care LLC
• North Texas Team Care Surgery Center LLC

• Emergency Medicine Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.