person
Johnny Johnson, PA
Medical Physician Assistant in Greenville, Texas
NPI 1477888196

Johnny Johnson is a Medical Physician Assistant based in Greenville, TX and is specialized in Medical. Johnny Johnson practices in Greenville, TX and has the professional credentials of PA. The NPI Number for Johnny Johnson is 1477888196 and holds a License No. PA00777 (Texas).

The current practice location address for Johnny Johnson is 4211 Joe Ramsey Blvd, Greenville, TX and can be reached out via phone at 903-408-5838 and via fax at 903-408-5839.

Location: 4211 Joe Ramsey Blvd, Greenville, TX, 75401
person
Provider Profile Details
NPI Number
1477888196
Provider Name
Johnny Johnson
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
4211 Joe Ramsey Blvd, Greenville, TX, 75401
Phone Number
903-408-5838
Fax Number
903-408-5839
Provider Enumeration Date
10/14/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45-3870 01 TX MEDICARE RHC NUMBER
institution
Provider Business Practice Location Address Details
Address
4211 Joe Ramsey Blvd
City
State
Zip
75401
Phone Number
903-408-5838
Fax Number
903-408-5839
person
Provider Business Mailing Address Details
Address
4211 Joe Ramsey Blvd
City
State
Zip
75401
Phone Number
903-408-5838
Fax Number
903-408-5839
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00777 (Texas)
Definition
Definition to come...
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