Johnston, Stephen
Johnston, Stephen is an individual health care provider with primary practice located at 5450 Clearfork Main St Ste 230 , Fort Worth TX 76109-3562. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Johnston, Stephen can be contacted via phone (817) 984-1688.Contact Information
Primary practice address
5450 Clearfork Main St Ste 230
Fort Worth TX 76109-3562
Phone: (817) 984-1688
Fax: (817) 419-4494
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | F9632 | Texas |
Profile Details
| NPI number | 1831163153 |
|---|---|
| LBN Legal business name | Johnston, Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Oct 29th, 2019 - about 5 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 | 1831163153 | NPPES |
| Texas | Other | 134360010 | MEDICAID - DALLAS |
| Texas | Other | 134360011 | MEDICAID - DALLAS |
| Texas | Other | 134360012 | MEDICAID - DALLAS |
| Texas | MEDICAID | 134360013 | MEDICAID - DALLAS |
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