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JERRY L JOHNSON MD PA NPI 1174824510


NPI Information

NPI: 1174824510
Provider Name: JERRY L JOHNSON MD PA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
503 S JOHN REDDITT DR
LUFKIN, TX
ZIP 75904
Phone: (936) 632-1533
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JERRY L JOHNSON MD PA is an obstetrics gynecology in Lufkin, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. JERRY L JOHNSON MD PA NPI is 1174824510. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

503 S JOHN REDDITT DR
LUFKIN, TX
ZIP 75904-120
Phone: (936) 632-1533
Fax: (936) 632-1726

The provider's authorized official is Jerry L Johnson .
The authorized official title is Md/owner and has the following contact phone number (936) 632-1533.

The enumeration date for this NPI number is 11/16/2010 and was last updated on 9/6/2012.


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
1207V00000XObstetrics & GynecologyJ2117TEXASYes

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: 5/5/2024

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