Individual
DR. GERARD SCOT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5110 N 10TH ST, SUITE E, MCALLEN, TX 78504-2834
(956) 631-4444
(956) 631-5478
Mailing address
5018 N 10TH ST, SUITE D, MCALLEN, TX 78504-2832
(956) 683-9600
(956) 683-9623
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
H3477
TX
208D00000X
General Practice Physician
Primary
H3477
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D643
BLUE CROSS BLUE SHIELD
TX
05
—
111580001
—
TX
05
—
111580002
—
TX
Enumeration date
01/23/2007
Last updated
03/12/2010
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