Individual
MARK W JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3621 22ND ST, SUITE 400, LUBBOCK, TX 79410-1301
(806) 791-8484
(806) 791-8484
Mailing address
3621 22ND ST, SUITE 400, LUBBOCK, TX 79410-1301
(806) 791-8484
(806) 791-8498
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
F9626
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132871806
—
TX
Enumeration date
08/15/2005
Last updated
10/12/2011
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