Johnson, Terry L
Johnson, Terry L is an sole proprietor health care provider with primary practice located at 3506 Buchanan St Suite B, Wichita Falls TX 76308-1856. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Johnson, Terry L can be contacted via phone (940) 696-1600.Contact Information
Primary practice address
3506 Buchanan St Suite B
Wichita Falls TX 76308-1856
Phone: (940) 696-1600
Fax: (940) 696-1665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | J5795 | Texas |
Profile Details
| NPI number | 1861582561 |
|---|---|
| LBN Legal business name | Johnson, Terry L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Nov 18th, 2014 - about 10 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 | 1861582561 | NPPES |
| Texas | MEDICAID | 1205122-05 |
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