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Organization
RICHARD JOHNSON MD PA
Active
Organization
RICHARD JOHNSON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY TAYLOR (CREDENTIALING)
(830) 896-2900
Entity
Organization
Contact information
Practice address
710 WATER ST STE 300, KERRVILLE, TX 78028-5396
(830) 257-5500
Mailing address
PO BOX 290968, KERRVILLE, TX 78029-0968
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F1686
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017NK
BCBS
TX
Enumeration date
10/09/2007
Last updated
10/09/2007
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