Individual
DR. JEFFREY LEBOURGEOIS JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4144 N CENTRAL EXPY, SUITE 360, DALLAS, TX 75204-3140
(214) 827-7460
(214) 826-6858
Mailing address
4144 N CENTRAL EXPY, SUITE 360, DALLAS, TX 75204-3140
(214) 827-7460
(214) 826-6858
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M8062
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199896505
—
TX
01
—
8EH350
BCBS TX
TX
Enumeration date
05/11/2007
Last updated
10/28/2015
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