Organization
J. DAVID JOHNSON,MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M GORDON NURSE PRACTITIONER (OFC MGR)
(903) 596-9900
Entity
Organization
Contact information
Practice address
618 S BROADWAY AVE, TYLER, TX 75701-1665
(903) 596-9900
(903) 596-0242
Mailing address
618 S BROADWAY AVE, TYLER, TX 75701-1665
(903) 596-9900
(903) 596-0242
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G7829
TX
174400000X
Specialist
K4497
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128264203
—
TX
Enumeration date
06/14/2007
Last updated
01/28/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us