Individual
DENISE A. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
170 E FM 544 STE 112, MURPHY, TX 75094-4080
(469) 626-3215
(469) 626-3117
Mailing address
170 E FM 544 STE 112, MURPHY, TX 75094-4080
(469) 626-3215
(469) 262-3117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J9114
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138894401
—
TX
05
—
138894402
—
TX
05
—
138894403
—
TX
05
—
138894404
—
TX
05
—
138894405
—
TX
05
—
138894406
—
TX
05
—
138894407
—
TX
05
—
138894408
—
TX
05
—
138894410
—
TX
05
—
138894411
—
TX
05
—
138894412
—
TX
05
—
138894413
—
TX
01
—
8K0724
MEDICARE
TX
Enumeration date
11/30/2005
Last updated
03/20/2019
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