# JOHN W JOHNSON III MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962737395
- **Authorized official:** DR. JOHN W JOHNSON III MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (817) 346-5151

## Contact information

- **Practice address:** 6100 HARRIS PKWY, STE 225, FORT WORTH, TX 76132-4101
- **Practice address phone:** (817) 346-5151
- **Practice address fax:** (817) 346-5149
- **Mailing address:** 6100 HARRIS PKWY, STE 225, FORT WORTH, TX 76132-4101
- **Mailing address phone:** (817) 346-5151
- **Mailing address fax:** (817) 346-5149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | G0910 | TX | Yes |

## Other

- **Enumeration date:** 10/02/2009
- **Last updated:** 01/05/2010