Johnson, Larry D

Johnson, Larry D is an individual health care provider with primary practice located at 3614 Ocean Dr. , Corpus Christi TX 78411-1343. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Johnson, Larry D can be contacted via phone (361) 549-1758.

Contact Information

Primary practice address
3614 Ocean Dr. Corpus Christi TX 78411-1343
Phone: (361) 549-1758
Fax: (281) 784-1555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X F3186 Texas

Profile Details

NPI number 1053309252
LBN Legal business name Johnson, Larry D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Dec 21st, 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 1053309252 NPPES
Texas Other 8P5507 BCBS PROVIDER NUMBER
Texas Other 1053309252 BCBS PROVIDER NUMBER
Texas MEDICAID 140034325 BCBS PROVIDER NUMBER

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