Johnson, Gregory Leigh
Johnson, Gregory Leigh is an individual health care provider with primary practice located at 4314 Medical Pkwy Suite 200, Austin TX 78756-3334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Johnson, Gregory Leigh can be contacted via phone (512) 454-1110.Contact Information
Primary practice address
4314 Medical Pkwy Suite 200
Austin TX 78756-3334
Phone: (512) 454-1110
Fax: (512) 374-1354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | K0846 | Texas |
Profile Details
| NPI number | 1437107331 |
|---|---|
| LBN Legal business name | Johnson, Gregory Leigh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437107331 | NPPES |
| Texas | MEDICAID | 137308612 |
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