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Mr. Gary Alan Johnson, PT
Specialist in Bryan, Texas
NPI 1992827802

Gary Alan Johnson is a Specialist based in Bryan, TX. Gary Alan Johnson practices in Bryan, TX and has the professional credentials of PT. The NPI Number for Gary Alan Johnson is 1992827802 and holds a License No. 1107241 (Texas).

The current practice location address for Gary Alan Johnson is 1716 Briarcrest Dr, Bryan, TX and can be reached out via phone at 979-846-2878 and via fax at 979-846-2877.

Location: 1716 Briarcrest Dr, Bryan, TX, 77802-2763
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992827802
Provider Name
Gary Alan Johnson
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
1716 Briarcrest Dr, Bryan, TX, 77802-2763
Phone Number
979-846-2878
Fax Number
979-846-2877
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8T1220 01 TX FEDERAL BCBS P.T.
0041JZ 01 TX BCBS OUTPATIENT P.T.
1639130-01 05 TX
institution
Provider Business Practice Location Address Details
Address
1716 Briarcrest Dr
City
Bryan
State
Texas
Zip
77802-2763
Phone Number
979-846-2878
Fax Number
979-846-2877
person
Provider Business Mailing Address Details
Address
1716 Briarcrest Dr
City
Bryan
State
Texas
Zip
77802-2763
Phone Number
979-846-2878
Fax Number
979-846-2877
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
1107241 (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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