Organization
HAROLD V. JOHNSON, III MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD V. JOHNSON MD (PRESIDENT)
(817) 336-0337
Entity
Organization
Contact information
Practice address
800 8TH AVE, SUITE #412, FORT WORTH, TX 76104-2618
(817) 336-0337
(817) 336-8853
Mailing address
800 8TH AVE, SUITE #412, FORT WORTH, TX 76104-2601
(817) 336-0337
(817) 336-8853
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D5048
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N087
BLUE CROSS & BLUE SHIELD
TX
Enumeration date
11/09/2006
Last updated
02/26/2008
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