Charlie Glen Johnson in Dallas - Military Health Care Provider
Charlie Glen Johnson - NPI 1518004860
Charlie Glen Johnson is a Military Health Care Provider in Dallas, Texas. Charlie Glen Johnson practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for Charlie Glen Johnson is 1518004860. The last update date is 2020-07-15.
Charlie Glen Johnson's current location address is Po Box 840853, Dallas, Texas. You can contact this provider via phone number 9727155000 and fax number 9727159976. The mailing address for Charlie Glen Johnson is Po Box 840853, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charlie Glen Johnson |
|---|---|
| Address | Po Box 840853, Dallas, Texas |
| Phone Number | 9727155000 |
| Fax Number | 9727159976 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1518004860 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2020-07-15 |
Provider Mailing Address Detail
| Address | Po Box 840853 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752840853 |
| Phone Number | 9727155000 |
| Fax Number | 9727159976 |
Provider's Primary Taxonomy Detail
| Speciality | Military Health Care Provider |
|---|---|
| Taxonomy | 171000000X |
| Licence No | 655560 |
|
Definition: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 622219 | TX | RN | |
| 75858 | TX | AANA |
Post Comment/ Review Below
What is the unique identifier code issued to Charlie Glen Johnson by the Centers for Medicare & Medicaid Services (CMS)?
The Charlie Glen Johnson has been assigned the NPI (National Provider Identifier) 1518004860. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Charlie Glen Johnson?
The Charlie Glen Johnson is situated at Po Box 840853, in the city of Dallas, state of TX, with the zip code 752840853.
What is the area of specialization for Charlie Glen Johnson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Charlie Glen Johnson is Military Health Care Provider, and the corresponding taxonomy code that categorizes this area of expertise is 171000000X.
On what date did the Charlie Glen Johnson receive its 1518004860 assignment from the Centers for Medicare & Medicaid Services?
The Charlie Glen Johnson was assigned its 1518004860 by the Centers for Medicare & Medicaid Services on 2007-01-30.
When was the information related to Charlie Glen Johnson most recently updated or refreshed?
The details pertaining to the Charlie Glen Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-07-15.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC