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Individual

DR. RALEIGH FRANCIS JOHNSON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3560 DELAWARE ST STE 209, BEAUMONT, TX 77706-3059
(409) 899-3682
Mailing address
3560 DELAWARE ST STE 209, BEAUMONT, TX 77706-3059
(409) 899-3682

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2002010815
MO
2085R0202X
Diagnostic Radiology Physician
L1084
TX
2085R0202X
Diagnostic Radiology Physician
ME173076
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036-107490
IL BLUE CROSS BLUE SHIELD
IL
01
063896
HEALTH ALLIANCE
05
149233001
AR
01
185214
MO BLUE CROSS BLUE SHIELD
MO
05
205919806
MO
01
430954380CAP
MERCY HEALTH PLAN
01
524893
HEALTHLINK
01
60117868
DPS
TX
01
L1084
MEDICAL LICENSE
TX
Enumeration date
07/31/2006
Last updated
06/16/2025
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