Individual
DR. DAVID GARY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 W ROSEWOOD AVE, SAN ANTONIO, TX 78212-2219
(210) 394-0389
(830) 535-6423
Mailing address
311 W ROSEWOOD AVE, SAN ANTONIO, TX 78212-2219
(210) 394-0389
(830) 535-6423
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
F5243
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D729
BLUECROSS BLUESHIELD
TX
Enumeration date
07/12/2006
Last updated
07/08/2007
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