Individual
DR. JAMES EARL JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 BERGQUIST DR, SUITE 1, LACKLAND AFB, TX 78236-9907
(210) 292-7956
(210) 292-7986
Mailing address
22019 CRISTOBAL DR, GARDEN RIDGE, TX 78266-2237
(210) 883-4712
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K9814
TX
Other
Enumeration date
01/19/2006
Last updated
09/25/2008
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