Individual
GERALD JERARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5252 W UNIVERSITY DR, ATTN: MKIPCU, MCKINNEY, TX 75071-7822
(469) 764-6950
(469) 764-6954
Mailing address
5252 W UNIVERSITY DR, ATTN: MKIPCU, MCKINNEY, TX 75071-7822
(469) 764-6950
(469) 764-6954
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M3276
TX
208M00000X
Hospitalist Physician
M3276
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1805921-04
—
TX
05
—
180592101
—
TX
05
—
200098530A
—
OK
Enumeration date
07/26/2006
Last updated
02/24/2023
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