Johnson, Keith R
Johnson, Keith R is an sole proprietor health care provider with primary practice located at 1300 Murchison Suite 312, El Paso TX 79902. He recently has 10 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Johnson, Keith R can be contacted via phone (915) 217-1107.Contact Information
Primary practice address
1300 Murchison Suite 312
El Paso TX 79902
Phone: (915) 217-1107
Fax: (915) 217-1299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | L4010 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | L4010 | Texas |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | L4010 | Texas |
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | L4010 | Texas |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | L4010 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | L4010 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | L4010 | Texas |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | L4010 | Texas |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | L4010 | Texas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | L4010 | Texas |
Profile Details
| NPI number | 1558369058 |
|---|---|
| LBN Legal business name | Johnson, Keith R |
| Credentials | M.D. P.A. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Mar 7th, 2017 - about 8 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 | 1558369058 | NPPES |
| Texas | MEDICAID | 151853205 | |
| Texas | Other | 8F20596 |
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