Individual
CHARLES MICHAEL JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
100 E FERGUSON ST, SUITE 1204, TYLER, TX 75702-5759
(903) 509-2040
Mailing address
3710 TERILYNN DR, LONGVIEW, TX 75604-1027
(903) 297-5920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1115228
TX
2251G0304X
Geriatric Physical Therapist
1115228
TX
2251P0200X
Pediatric Physical Therapist
1115228
TX
2251X0800X
Orthopedic Physical Therapist
1115228
TX
Other
Enumeration date
09/17/2016
Last updated
09/17/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us