Individual
TODD C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2241 PEGGY LN, SUITE A, GARLAND, TX 75042-5732
(972) 276-0536
(972) 276-6037
Mailing address
2241 PEGGY LN, SUITE A, GARLAND, TX 75042-5732
(972) 276-0536
(972) 276-6037
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J9116
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84592Y
BCBS
TX
Enumeration date
05/12/2006
Last updated
09/08/2021
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