Eds-I Practices of Texas, P.a.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

EDS-I PRACTICES OF TEXAS, P.A.

Practice address

1501 S Coulter St
Amarillo, TX 79106-1770

Phone

(806) 354-1000

NPI assigned

Mar 12, 2014

Last updated

Mar 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Jernberg, MDNPI 1679530786

Title

President

Phone

(469) 401-2386

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Curtis Jernberg, M.D.

  • Emergency Medicine Physician
  • Garland, TX
  • NPI 1679530786
  Authorized official Same address or phone

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1528484789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD",
            "address_2": "SUITE 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401331",
            "telephone_number": "469-401-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061770",
            "telephone_number": "806-354-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDS-I PRACTICES OF TEXAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "JERNBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-401-2386",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyra Danay Easter, DC
• Meredith Eaton, PHARMD
• Lonny Wayne Eaves, M.A., L.P.C.
• Lauren Marie Eberspacher
• Michael Wageeh William Ebrahim, MD
• Educare Community Living Corporation - Texas
• Educare Community Living Corporation-Texas
• David Dustin Edwards, CRNA
• Lisa Edwards, M. A., LPC
• Theresa Lynne Edwards, NP

• Emergency Medicine Physician in Amarillo, TX
• Providers in Amarillo, 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 Mar 25, 2014; 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.