Individual
GEORGE WILLIAM JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 COLORADO BLVD, DENTON, TX 76210-6817
(940) 381-2199
(940) 382-7304
Mailing address
3333 COLORADO BLVD, DENTON, TX 76210-6817
(940) 381-2199
(940) 382-7304
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
E8004
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
E8004
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098128403
—
TX
Enumeration date
07/20/2005
Last updated
07/11/2011
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