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NPI Code Detail

MEDICARE: GAIL IRENE JOHNSON M.D.

MEDICARE: GAIL IRENE JOHNSON M.D.
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
12084P0800XPsychiatry PhysicianG1444TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649399452
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAIL IRENE JOHNSON M.D.
Provider Business Mailing Address
First Line : 2301 WEST MICHIGAN AVE
Second Line :
City : MIDLAND
State : TX
Zip : 79701
Country : US
Telephone Number : 432-620-1160
Fax Number :
Provider Business Practice Location Address
First Line : 2301 W MICHIGAN AVE
Second Line :
City : MIDLAND
State : TX
Zip : 79701-5829
Country : US
Telephone Number : 432-620-1160
Fax Number : 432-620-1156
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 03/03/2026

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Directions to “ GAIL IRENE JOHNSON M.D.” Practice Location

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