Individual
MARC EDWARD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 S MAIN ST STE 1600, FORT WORTH, TX 76104-7663
(817) 702-3701
Mailing address
1350 S MAIN ST STE 1600, FORT WORTH, TX 76104-7663
(601) 695-0397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23972
MS
207Q00000X
Family Medicine Physician
E8843
AR
207QA0505X
Adult Medicine Physician
Primary
S-7461
TX
Other
Enumeration date
06/27/2011
Last updated
05/23/2025
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