Jack C Johnston in Beaumont - Sports Medicine
Jack C Johnston - NPI 1922082940
Jack C Johnston is a Sports Medicine in Beaumont, Texas. Jack C Johnston practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jack C Johnston is 1922082940. The last update date is 2015-04-07.
Jack C Johnston's current location address is 3650 Laurel Street, Beaumont, Texas. You can contact this provider via phone number 4098380346 and fax number 4098393720. The mailing address for Jack C Johnston is 3650 Laurel Street, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack C Johnston |
|---|---|
| Address | 3650 Laurel Street, Beaumont, Texas |
| Phone Number | 4098380346 |
| Fax Number | 4098393720 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1922082940 |
|---|---|
| Provider Enumeration Date | 2005-12-02 |
| Last Updated Date | 2015-04-07 |
Provider Mailing Address Detail
| Address | 3650 Laurel Street |
|---|---|
| City | Beaumont |
| State | Texas (TX) |
| Post Code | 77707 |
| Phone Number | 4098380346 |
| Fax Number | 4098393720 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | K6025 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jack C Johnston by the Centers for Medicare & Medicaid Services?
The Jack C Johnston has been issued the NPI (National Provider Identifier) 1922082940, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jack C Johnston is geographically located?
The Jack C Johnston is physically situated at the following location: 3650 Laurel Street, Beaumont, TX, 77707.
What is the area of specialization for Jack C Johnston, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jack C Johnston is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Xx0005X.
On what date did the Centers for Medicare & Medicaid Services assign the 1922082940 to Jack C Johnston?
The Centers for Medicare & Medicaid Services assigned the 1922082940 to Jack C Johnston on 2005-12-02.
When was the information regarding Jack C Johnston most recently updated?
The details pertaining to the Jack C Johnston, including its address, specialty, and other relevant information, were last refreshed on 2015-04-07.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX