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Organization
JOHNSON & HAVENER MEDICAL SERVICES, PA
Active
Organization
JOHNSON & HAVENER MEDICAL SERVICES, PA
Active
Other names
Family Health Center of Mission
Organization subpart
No
Provider details
NPI number
Authorized official
JERE MATTHEW JOHNSON M.D. (OWNER/PARTNER)
(956) 584-3353
Entity
Organization
Contact information
Practice address
1920 E GRIFFIN PKWY, MISSION, TX 78572-3106
(956) 584-3353
(956) 584-3253
Mailing address
1920 E GRIFFIN PKWY, MISSION, TX 78572-3106
(956) 584-3353
(956) 584-3253
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N26N
BLUE CROSS/BLUE SHIELD
—
01
—
CR0547
RR MEDICARE
—
Enumeration date
06/24/2006
Last updated
08/22/2020
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