Individual
ROBERT GORDON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4410 MEDICAL DR, SUITE 610, SAN ANTONIO, TX 78229-6306
(210) 614-2453
(210) 614-4457
Mailing address
4410 MEDICAL DR, SUITE 610, SAN ANTONIO, TX 78229-6306
(210) 614-2453
(210) 614-4457
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G7249
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133865903
—
TX
Enumeration date
08/09/2005
Last updated
11/12/2009
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