Johnson, Richard

Johnson, Richard is an individual health care provider with primary practice located at 811 S Washington Ave , Marshall TX 75670-5336. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Johnson, Richard can be contacted via phone (903) 315-1488.

Contact Information

Primary practice address
811 S Washington Ave Marshall TX 75670-5336
Phone: (903) 315-1488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 613247 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP110601 Texas

Profile Details

NPI number 1811945926
LBN Legal business name Johnson, Richard
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Dec 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811945926 NPPES
Texas MEDICAID 140494904
Texas Other 86081U

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