Mission Trail Inpatient Services

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

MISSION TRAIL INPATIENT SERVICES

Practice address

3280 Joe Battle Blvd
El Paso, TX 79938-2622

Phone

(915) 832-2700

NPI assigned

Jun 8, 2009

Organization subpart

Yes

Parent organization

INPATIENT SERVICES OF TEXASAs reported in NPPES

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

Authorized official

Name

William C Jernberg, MD

Title

President

Phone

(214) 712-2000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1669608345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST",
            "address_2": "SUITE 5200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014612",
            "telephone_number": "214-712-2000",
            "fax_number": "214-712-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 JOE BATTLE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382622",
            "telephone_number": "915-832-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION TRAIL INPATIENT SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INPATIENT SERVICES OF TEXAS",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "JERNBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-712-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mireles, PMHNP, APRN
• Miriam Christing Zolfoghary MD PA
• Gregory Robert Misenhimer, M.D.
• Shakeeka Allison Misher, DNP, FNP-C
• Mission Personal Assistance Service, Inc.
• Mission Valley Medical Clinic Corp
• Mission Valley Medical Clinic Inc
• Mission Valley Support Services
• Rosanna Missirian, RN
• Mitchell J Farrell MD PA

• Hospitalist Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Hospitalist Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.