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Individual
DR. GERARD SCOT JOHNSON
Active
Individual
DR. GERARD SCOT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
H3477
TX
208D00000X
General Practice Physician
Primary
H3477
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D643
BLUE CROSS BLUE SHIELD
TX
05
—
111580001
—
TX
05
—
111580002
—
TX
Enumeration date
01/23/2007
Last updated
03/12/2010
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