Individual
DR. WILLIAM KENT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
511 OAKWOOD BLVD STE 150, ROUND ROCK, TX 78681-4068
(248) 629-2176
(248) 856-4704
Mailing address
7125 ORCHARD LAKE RD STE 210, WEST BLOOMFIELD, MI 48322-3618
(248) 629-2176
(248) 856-4704
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
H6320
TX
208600000X
Surgery Physician
Primary
H6320
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096817403
—
TX
05
—
096817404
—
TX
05
—
P000662G2
—
TX
Enumeration date
05/24/2005
Last updated
09/18/2025
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