Johnson, David Gary

Johnson, David Gary is an sole proprietor health care provider with primary practice located at 311 W Rosewood Ave , San Antonio TX 78212-2219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Johnson, David Gary can be contacted via phone (210) 394-0389.

Contact Information

Primary practice address
311 W Rosewood Ave San Antonio TX 78212-2219
Fax: (830) 535-6423
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X F5243 Texas

Profile Details

NPI number 1689609125
LBN Legal business name Johnson, David Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 17 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 1689609125 NPPES
Texas Other 00D729 BLUECROSS BLUESHIELD

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