Individual
DR. DONALD R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 5TH AVE, FORT WORTH, TX 76104-4302
(817) 877-0888
(817) 877-5039
Mailing address
7610 STEMMONS FWY, SUITE 500, DALLAS, TX 75247-4231
(214) 689-5960
(214) 630-7293
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G5938
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114077401
—
TX
01
—
84Y113
BCBSTX
TX
Enumeration date
03/23/2006
Last updated
05/26/2010
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