Individual
SCOTT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7979 WURZBACH RD, SAN ANTONIO, TX 78229-4427
(210) 257-1400
Mailing address
UTHSCSA, UTHSCSA, DEPT. OF SURGERY, 7703 FLOYD CURL DRIVE, RM 238F.3, SAN ANTONIO, TX 78229
(210) 567-5615
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
J4869
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102910001
—
TX
01
—
102910003
CIDC
TX
Enumeration date
08/24/2006
Last updated
05/06/2009
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