Organization
EXPLORATORY & DIAGNOSTIC IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY T JOHNSON MD (ORTHOPAEDIC SURGEON)
(214) 333-4200
Entity
Organization
Contact information
Practice address
2301 S HAMPTON RD, SUITE 700, DALLAS, TX 75224-1650
(214) 333-4200
(214) 333-9911
Mailing address
2301 S HAMPTON RD, SUITE 700, DALLAS, TX 75224-1650
(214) 333-4200
(214) 333-9911
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
G6311
TX
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
G6311
TX
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
G6311
TX
Other
Enumeration date
02/14/2007
Last updated
09/11/2025
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