Individual
DR. PATRICK R. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
H8159
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J245
MEDICARE GROUP
TX
01
—
10019841
AMERIGROUP
TX
05
—
132539107
—
TX
01
—
300132944
MEDICARE RAILROAD
TX
01
—
CS7910
MEDICARE RAILROAD GROUP
TX
Enumeration date
06/07/2006
Last updated
07/18/2013
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