Individual
CLARISSA M. JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 E 15TH ST, AUSTIN, TX 78701-1930
(512) 324-1000
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3429
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q1181
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
Q1181
TX
208M00000X
Hospitalist Physician
A62097
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A620970
—
CA
05
—
341861801
—
TX
Enumeration date
11/15/2006
Last updated
10/08/2015
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