Johnston, Clarissa M.

Johnston, Clarissa M. is an individual health care provider with primary practice located at 601 E 15Th St , Austin TX 78701-1930. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Johnston, Clarissa M. can be contacted via phone (512) 324-1000.

Contact Information

Primary practice address
601 E 15Th St Austin TX 78701-1930
Phone: (512) 324-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A62097 California
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X Q1181 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Q1181 Texas

Profile Details

NPI number 1649342445
LBN Legal business name Johnston, Clarissa M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Oct 8th, 2015 - about 11 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 1649342445 NPPES
California MEDICAID 00A620970
California MEDICAID 341861801

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