Individual
ROBERT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
M1803
TX
208600000X
Surgery Physician
Primary
M1803
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176389801
—
TX
Enumeration date
12/14/2006
Last updated
05/11/2009
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