Jack L. Johnson Jr., M.D., P.A.

LBN: Jack L. Johnson Jr., M.D., P.A.
Jack L. Johnson Jr., M.D., P.A. is an health care organization with primary practice located at 560 W Main St Suite 100, Lewisville TX 75057-3629. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jack L. Johnson Jr., M.D., P.A. can be contacted via phone (972) 436-9797, or through Johnson, Jack L. via phone (972) 436-9797.

Contact Information

Primary practice address
560 W Main St Suite 100 Lewisville TX 75057-3629
Phone: (972) 436-9797
Fax: (972) 436-9790
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Jack L. Doctor of Medicine (MD)
Phone: (972) 436-9797

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X H5576 Texas

Profile Details

NPI number 1912165218
LBN Legal business name Jack L. Johnson Jr., M.D., P.A.
DBA Doing business as
Authorized official Johnson, Jack L. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2008
Last updated Nov 21st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912165218 NPPES
Texas Other 0047LP BCBS

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