MEDICARE: DR. LARRY TURNNER JOHNSON MD

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	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	G6311	TX
2	207XX0801X	Orthopaedic Trauma Physician	G6311	TX

General Provider Information

NPI Number	:	1346322948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LARRY TURNNER JOHNSON MD

Provider Business Mailing Address
First Line	:	1819 BEAVER CREEK DR
Second Line	:
City	:	DUNCANVILLE
State	:	TX
Zip	:	75137-3729
Country	:	US
Telephone Number	:	972-780-8946
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 S HAMPTON RD
Second Line	:	800
City	:	DALLAS
State	:	TX
Zip	:	75224-1650
Country	:	US
Telephone Number	:	214-333-4200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	09/11/2025

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