Johnson, Robert Gordon

Johnson, Robert Gordon is an individual health care provider with primary practice located at 4410 Medical Dr Suite 610, San Antonio TX 78229-6306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Johnson, Robert Gordon can be contacted via phone (210) 614-2453.

Contact Information

Primary practice address
4410 Medical Dr Suite 610 San Antonio TX 78229-6306
Phone: (210) 614-2453
Fax: (210) 614-4457
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X G7249 Texas

Profile Details

NPI number 1689675142
LBN Legal business name Johnson, Robert Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Nov 12th, 2009 - about 15 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 1689675142 NPPES
Texas MEDICAID 133865903

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