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NPI Code Detail

MEDICARE: DR. CURTIS H JOHNSON M.D.

MEDICARE: DR. CURTIS H 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
1207P00000XEmergency Medicine PhysicianM1169TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2P00240377OTHERTXRAILROAD
38S5973OTHERTXBCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740266642
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CURTIS H JOHNSON M.D.
Provider Business Mailing Address
First Line : PO BOX 201606
Second Line :
City : DALLAS
State : TX
Zip : 75320-1606
Country : US
Telephone Number : 972-758-3598
Fax Number :
Provider Business Practice Location Address
First Line : 4401 BOOTH CALLOWAY RD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-7371
Country : US
Telephone Number : 817-255-1801
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 12/23/2021

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