MEDICARE: EVAN JOHNSON DC

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	111N00000X	Chiropractor	16199	TX

General Provider Information

NPI Number	:	1437006897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVAN JOHNSON DC

Provider Business Mailing Address
First Line	:	2922 E CESAR CHAVEZ ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-4804
Country	:	US
Telephone Number	:	636-221-9570
Fax Number	:

Provider Business Practice Location Address
First Line	:	2922 E CESAR CHAVEZ ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-4804
Country	:	US
Telephone Number	:	636-221-9570
Fax Number	:

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

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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Directions to “ EVAN JOHNSON DC” Practice Location

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