Individual
JEFFREY L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 DAVIS LN BLDG B100, AUSTIN, TX 78749-4072
(512) 324-2349
(512) 324-2930
Mailing address
5301 DAVIS LN BLDG B100, AUSTIN, TX 78749-4072
(512) 324-2349
(512) 324-2930
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
DR.0068273
CO
208600000X
Surgery Physician
Primary
K7172
TX
Other
Enumeration date
12/22/2005
Last updated
09/08/2023
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