Johnson, Frederick C

Johnson, Frederick C is an individual health care provider with primary practice located at 12221 Merit Dr Suite 1610, Dallas TX 75251-2202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Johnson, Frederick C can be contacted via phone (214) 217-1911.

Contact Information

Primary practice address
12221 Merit Dr Suite 1610 Dallas TX 75251-2202
Phone: (214) 217-1911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X L4474 Texas
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X L4474 Texas

Profile Details

NPI number 1205851672
LBN Legal business name Johnson, Frederick C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Aug 27th, 2013 - about 11 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 1205851672 NPPES
Texas Other 8S2689 BCBS
Texas MEDICAID 164307406 BCBS
Texas MEDICAID 23981741 BCBS
Texas MEDICAID 164307403 BCBS
Texas MEDICAID 164307404 BCBS

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