Individual
DR. BERT EMIL JOHANSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD/PHD
Contact information
Practice address
4800 ALBERTA DR, DEPT PEDIATRICS; TEXAS TECH HEALTH SCIENCES CTR, EL PASO, TX 79905
(915) 545-6921
(915) 545-6975
Mailing address
721 S OCHOA ST, EL PASO, TX 79901-2935
(915) 545-6921
(915) 545-6975
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
211107
NY
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
N4497
TX
208000000X
Pediatrics Physician
211107
NY
208000000X
Pediatrics Physician
Primary
N4497
TX
2080P0203X
Pediatric Critical Care Medicine Physician
211107
NY
2080P0203X
Pediatric Critical Care Medicine Physician
N4497
TX
Other
Enumeration date
11/10/2006
Last updated
11/16/2024
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