institution
J. David Johnson,md,pa
Specialist in Tyler, Texas
NPI 1376747196

J. David Johnson,md,pa is a Specialist based in Tyler, TX. J. David Johnson,md,pa practices in Tyler, TX. The NPI Number for J. David Johnson,md,pa is 1376747196 and holds a License No. G7829 (Texas).

The current practice location address for J. David Johnson,md,pa is 618 S Broadway Ave, Tyler, TX and can be reached out via phone at 903-596-9900 and via fax at 903-596-0242.

Location: 618 S Broadway Ave, Tyler, TX, 75701-1665
institution
Provider Profile Details
NPI Number
1376747196
Provider Name
J. David Johnson,md,pa
Credential
Provider Entity Type
Organization
Address
618 S Broadway Ave, Tyler, TX, 75701-1665
Phone Number
903-596-9900
Fax Number
903-596-0242
Provider Enumeration Date
06/14/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
128264203 05 TX
institution
Provider Business Practice Location Address Details
Address
618 S Broadway Ave
City
State
Zip
75701-1665
Phone Number
903-596-9900
Fax Number
903-596-0242
person
Provider Business Mailing Address Details
Address
618 S Broadway Ave
City
State
Zip
75701-1665
Phone Number
903-596-9900
Fax Number
903-596-0242
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
G7829 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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