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Dr. Walter Johnson JR., MD
Student in an Organized Health Care Education/Training Program in Temple, Texas
NPI 1861020109

Walter Johnson JR. is a Student in an Organized Health Care Education/Training Program based in Temple, TX. Walter Johnson JR. practices in Temple, TX and has the professional credentials of MD. The NPI Number for Walter Johnson JR. is 1861020109 and holds a License No. U9004 (Texas).

The current practice location address for Walter Johnson JR. is 2401 South 31St Street Insert Mail Stop Here, Temple, TX and can be reached out via phone at 254-724-5306.

Location: 2401 South 31St Street Insert Mail Stop Here, Temple, TX, 76508-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861020109
Provider Name
Walter Johnson JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2401 South 31St Street Insert Mail Stop Here, Temple, TX, 76508-0001
Phone Number
254-724-5306
Fax Number
Provider Enumeration Date
03/31/2020
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
2401 South 31St Street Insert Mail Stop Here
City
Temple
State
Texas
Zip
76508-0001
Phone Number
254-724-5306
Fax Number
person
Provider Business Mailing Address Details
Address
2401 South 31St Street Insert Mail Stop Here
City
Temple
State
Texas
Zip
76508-0001
Phone Number
254-724-5306
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
U9004 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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