Individual
GREGORY R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 S COULTER ST, SUITE 405, AMARILLO, TX 79106-1763
(806) 358-9111
(806) 358-3728
Mailing address
1301 S COULTER ST, SUITE 405, AMARILLO, TX 79106-1763
(806) 358-9111
(806) 358-3728
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L5781
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157811401
—
TX
Enumeration date
09/26/2006
Last updated
10/20/2008
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