Individual
ERIC R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2801 OSLER DR, #120, GRAND PRAIRIE, TX 75051
(972) 647-8404
(972) 641-8398
Mailing address
2801 OSLER DR, #120, GRAND PRAIRIE, TX 75051
(972) 647-8404
(972) 641-8398
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
E6441
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126321203
—
TX
Enumeration date
01/23/2006
Last updated
02/08/2010
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