Individual
DAVID JOHNSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(317) 208-0416
Mailing address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(317) 208-0416
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
02/11/2026
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