# JERE MATTHEW JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053355578
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | H7072 | TX | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 118921 | SUPERIOR HEALTH PLAN NETW | TX |
| 01 | — | 1768599 | UNITED HEALTHCARE | TX |
| 01 | — | 2930347 | CIGNA | TX |
| 01 | — | 89W300 | BLUE CROSS | TX |