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Individual

DR. STEVEN K. JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1249 AMBLER AVE, SUITE 200, ABILENE, TX 79601-2351
(325) 677-2626
(325) 677-6835
Mailing address
1249 AMBLER AVE, SUITE 200, ABILENE, TX 79601-2351
(325) 677-2626
(325) 677-6835

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J0025
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100007817
RAILROAD MEDICARE
TX
01
116139100
FIRSTCARE
TN
05
125794102
TX
01
872921
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/23/2006
Last updated
11/06/2014
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