Edward Wallace Johnson III is a Family Medicine Physician based in Dallas, LA. Edward Wallace Johnson III practices in Bossier City, LA and has the professional credentials of MD. The NPI Number for Edward Wallace Johnson III is 1285073890 and holds a License No. 23591 (Louisiana).
The current practice location address for Edward Wallace Johnson III is 2703 Beene Blvd, Bossier City, LA and can be reached out via phone at 318-681-4515 and via fax at 318-681-4514.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01754632 | 01 | TX | RAIL ROAD MEDICARE |
| 8GF799 | 01 | TX | BCBS |
| 75-2616977-029 | 01 | TX | TRICARE |
| 364829701 | 05 | TX |
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