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:
Authorized official contact:
Name: Jernberg, William C. Doctor of Medicine (MD)
Phone: (469) 401-2386
Health care specialties
Specialty | Code | License # | 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 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902856107 | NPPES |
Texas | Other | 00530K | BCBS |
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