Jack L. Johnson Jr., M.D., P.A. in Lewisville - Family Medicine

Jack L. Johnson Jr., M.D., P.A. - NPI 1912165218

Jack L. Johnson Jr., M.D., P.A. is a Family Medicine in Lewisville, Texas. Jack L. Johnson Jr., M.D., P.A. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jack L. Johnson Jr., M.D., P.A. is 1912165218. The last update date is 2008-11-21.

Jack L. Johnson Jr., M.D., P.A.'s current location address is 560 W Main St, Lewisville, Texas. You can contact this provider via phone number 9724369797 and fax number 9724369790. The mailing address for Jack L. Johnson Jr., M.D., P.A. is 560 W Main St, Lewisville, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jack L. Johnson Jr., M.D., P.A.
Address 560 W Main St, Lewisville, Texas
Phone Number 9724369797
Fax Number 9724369790
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PHYS
Authorized Official Name Johnson L. Jack
Credentials M.D.
Telephone Number 9724369797

NPI Number Detail

NPI Number 1912165218
Provider Enumeration Date 2008-05-23
Last Updated Date 2008-11-21

Provider Mailing Address Detail

Address 560 W Main St
City Lewisville
State Texas (TX)
Post Code 750573629
Phone Number 9724369797
Fax Number 9724369790

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No H5576
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0047LP TX BCBS

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FAQs about Jack L. Johnson Jr., M.D., P.A.

What is the unique identifier code issued to Jack L. Johnson Jr., M.D., P.A. by the Centers for Medicare & Medicaid Services?

The Jack L. Johnson Jr., M.D., P.A. has been assigned the NPI (National Provider Identifier) 1912165218. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jack L. Johnson Jr., M.D., P.A. is geographically located?

The Jack L. Johnson Jr., M.D., P.A. is physically situated at the following location: 560 W Main St, Lewisville, TX, 750573629.

What is Jack L. Johnson Jr., M.D., P.A.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jack L. Johnson Jr., M.D., P.A. is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

When did the Jack L. Johnson Jr., M.D., P.A. receive its 1912165218?

The Jack L. Johnson Jr., M.D., P.A. was issued its 1912165218 on 2008-05-23, which is the date when the organization was assigned this unique identifier.

As of what date were the Jack L. Johnson Jr., M.D., P.A.'s details last updated?

The information pertaining to the Jack L. Johnson Jr., M.D., P.A., including its address, specialty, and other details, was most recently updated on 2008-11-21.

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