Individual
JOSEPH E JOHNSON IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 E EUCLID AVE, SAN ANTONIO, TX 78212-4414
(210) 271-0606
Mailing address
520 E. EUCLID AVE., SAN ANTONIO, TX 78212
(210) 271-0606
(210) 299-4628
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G5224
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119179302
—
TX
Enumeration date
06/10/2005
Last updated
01/31/2017
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