Grapevine Emergency Physicians Pllc

LBN: Grapevine Emergency Physicians Pllc
Grapevine Emergency Physicians Pllc is an health care organization with primary practice located at 1650 W College St , Grapevine TX 76051-3565. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Grapevine Emergency Physicians Pllc can be contacted via phone (817) 488-7546, or through Jernberg, William C via phone (469) 401-2386.

Contact Information

Primary practice address
1650 W College St Grapevine TX 76051-3565
Phone: (817) 488-7546
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
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1770650483
LBN Legal business name Grapevine Emergency Physicians Pllc
DBA Doing business as
Authorized official Jernberg, William C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770650483 NPPES
Texas Other 0078DE BCBS

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