Individual
BLAKE ASHTON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13737 NOEL RD STE 1200, DALLAS, TX 75240-1335
(469) 420-5508
(866) 889-2634
Mailing address
13737 NOEL RD STE 1200, DALLAS, TX 75240-1335
(469) 420-5508
(866) 889-2634
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
201217
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R1970
TEXAS MEDICAL BOARD (TX MEDICAL LICENSURE)
TX
Enumeration date
05/27/2014
Last updated
07/21/2022
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