Individual
DR. CHRISTINE LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8401 DATAPOINT DR, SUITE 500, SAN ANTONIO, TX 78229-5900
(210) 614-0180
(210) 615-7170
Mailing address
8401 DATAPOINT DR, SUITE 500, SAN ANTONIO, TX 78229-5900
(210) 614-0180
(210) 615-7170
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
233020
NY
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
N3764
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
N3764
TX
208M00000X
Hospitalist Physician
N3764
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02641349
—
NY
05
—
205319101
—
TX
01
—
8CC677
BCBSTX
TX
Enumeration date
10/03/2006
Last updated
04/10/2024
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