DR. CHRISTINE LEE JOHNSON M.D. NPI 1104911551

NPI Information

  • NPI: 1104911551
  • Provider Name: DR. CHRISTINE LEE JOHNSON, M.D.
  • Classification: Pediatrics - 2080P0204X
  • Specialization: Pediatric Emergency Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8401 DATAPOINT DR
    SUITE 500
    SAN ANTONIO, TX
    ZIP 78229
  • Phone: (210) 614-0180

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NPI Details

DR. Christine Lee Johnson, M.D. is a pediatric emergency medicine pediatrics in San Antonio, TX. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Christine Lee Johnson, M.D. NPI is 1104911551. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8401 DATAPOINT DR
SUITE 500
SAN ANTONIO, TX
ZIP 78229-900
Phone: (210) 614-0180
Fax: (210) 615-7170

The NPI 1104911551 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 4/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist233020NEW YORKNo
2207PP0204XEmergency MedicinePediatric Emergency MedicineN3764TEXASNo
3208M00000XHospitalistN3764TEXASNo
42080P0204XPediatricsPediatric Emergency MedicineN3764TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1205319101MEDICAIDTEXAS
28CC677OTHERTEXASBCBSTX
302641349MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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