Jerry Allen Johnson in Round Rock - Medical
Jerry Allen Johnson - NPI 1780779140
Jerry Allen Johnson is a Medical in Round Rock, Texas. Jerry Allen Johnson practices all healthcare services and medical treatments related to Medical. The NPI Number for Jerry Allen Johnson is 1780779140. The last update date is 2008-09-04.
Jerry Allen Johnson's current location address is 1201 Sam Bass Road, Round Rock, Texas. You can contact this provider via phone number 5123881861 and fax number 5123880373. The mailing address for Jerry Allen Johnson is 1201 Sam Bass Road, Round Rock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Allen Johnson |
|---|---|
| Address | 1201 Sam Bass Road, Round Rock, Texas |
| Phone Number | 5123881861 |
| Fax Number | 5123880373 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1780779140 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2008-09-04 |
Provider Mailing Address Detail
| Address | 1201 Sam Bass Road |
|---|---|
| City | Round Rock |
| State | Texas (TX) |
| Post Code | 786814137 |
| Phone Number | 5123881861 |
| Fax Number | 5123880373 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA00163 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jerry Allen Johnson by the Centers for Medicare & Medicaid Services?
The Jerry Allen Johnson has been assigned the NPI (National Provider Identifier) 1780779140 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jerry Allen Johnson's facilities are situated?
The facilities of Jerry Allen Johnson are physically located at the following address: 1201 Sam Bass Road, Round Rock, TX, 786814137.
What is Jerry Allen Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jerry Allen Johnson is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780779140 to Jerry Allen Johnson?
The Jerry Allen Johnson received its 1780779140 assignment from the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date was the information regarding Jerry Allen Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerry Allen Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-09-04.
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