Ellis Emergency Physicians Pllc

LBN: Ellis Emergency Physicians Pllc
Ellis Emergency Physicians Pllc is an health care organization with primary practice located at 1405 W Jefferson St , Waxahachie TX 75165-2231. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Ellis Emergency Physicians Pllc can be contacted via phone (972) 923-7070, or through Jernberg, William C. via phone (469) 401-2386.

Contact Information

Primary practice address
1405 W Jefferson St Waxahachie TX 75165-2231
Phone: (972) 923-7070
Fax: (214) 712-2444
Website:
Map and Directions
Authorized official contact:
Name: Jernberg, William C. Doctor of Medicine (MD)
Phone: (469) 401-2386

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1902856107
LBN Legal business name Ellis Emergency Physicians Pllc
DBA Doing business as
Authorized official Jernberg, William C. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Dec 23rd, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902856107 NPPES
Texas Other 00530K BCBS

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