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Individual

DR. JACK C JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2501 JIMMY JOHNSON BLVD, SUITE 400, PT. ARTHUR, TX 77640
(409) 838-0346
(409) 839-3720
Mailing address
3650 LAUREL STREET, BEAUMONT, TX 77707
(409) 838-0346
(409) 839-3720

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
K6025
TX

Other

Enumeration date
12/02/2005
Last updated
04/07/2015
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