Individual
JOHN GORDON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2400 ROUND ROCK AVE, ROUND ROCK, TX 78681-4004
(512) 341-1000
Mailing address
505 SHERWOOD CT, GEORGETOWN, TX 78628-4678
(512) 864-2507
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
M0769
TX
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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