MEDICARE: JAMES JOHNSON MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	N8668	TX

General Provider Information

NPI Number	:	1093009862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES JOHNSON MD PA

Provider Business Mailing Address
First Line	:	3205 MEDPARK DR
Second Line	:
City	:	CORINTH
State	:	TX
Zip	:	76208-6932
Country	:	US
Telephone Number	:	940-484-6500
Fax Number	:

Provider Business Practice Location Address
First Line	:	3205 MEDPARK DR
Second Line	:
City	:	CORINTH
State	:	TX
Zip	:	76208-6932
Country	:	US
Telephone Number	:	940-484-6500
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONAL SERVICES
Name	:	VIRGINIA LAMB
Credential	:
Telephone Number	:	940-484-6500

Provider Enumeration Date	:	06/08/2011
Last Update Date	:	06/13/2011

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