Individual
DR. BOBBY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 927-1100
Mailing address
9016 RANCH BLUFF CT, BENBROOK, TX 76126-1658
(817) 707-4235
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L8749
TX
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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