Individual
DR. GREGORY LEIGH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4314 MEDICAL PKWY, SUITE 200, AUSTIN, TX 78756-3334
(512) 454-1110
(512) 374-1354
Mailing address
4314 MEDICAL PKWY, SUITE 200, AUSTIN, TX 78756-3334
(512) 454-1110
(512) 374-1354
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
K0846
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137308612
—
TX
Enumeration date
05/04/2006
Last updated
07/08/2007
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