Johnson, Carson Lee

Johnson, Carson Lee is an individual health care provider with primary practice located at 4005 24Th St , Lubbock TX 79410-1835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Johnson, Carson Lee can be contacted via phone (806) 792-2767.

Contact Information

Primary practice address
4005 24Th St Lubbock TX 79410-1835
Phone: (806) 792-2767
Fax: (888) 861-8858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X H6318 Texas

Profile Details

NPI number 1740284181
LBN Legal business name Johnson, Carson Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Nov 3rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740284181 NPPES
Texas Other 87455Y BLUE CROSS
Texas MEDICAID F9958 BLUE CROSS
Texas Other 116070100 BLUE CROSS
Texas MEDICAID 134969807 BLUE CROSS
Texas Other 625839 BLUE CROSS

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