Organization
LARRY T JOHNSON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CONTRERAS (BUSINESS MANAGER)
(214) 654-2129
Entity
Organization
Contact information
Practice address
5701 MAPLE AVE, 100, DALLAS, TX 75235-6519
(214) 351-6600
(214) 351-5046
Mailing address
5701 MAPLE AVE, 100, DALLAS, TX 75235-6519
(214) 351-6600
(214) 351-5046
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G6311
TX
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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