Individual
VERNON CHARLES JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
302 E BROCKETT ST, SHERMAN, TX 75090-4932
(903) 893-1400
(903) 893-6090
Mailing address
302 E BROCKETT ST, SHERMAN, TX 75090-4932
(903) 893-1400
(903) 893-6090
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
J0841
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T08M
BLUE CROSS BLUE SHIELD
—
05
—
100164380A
—
OK
05
—
128802905
—
TX
Enumeration date
01/09/2007
Last updated
11/23/2020
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