Individual
PROF. DAVID M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
604291
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00416W
—
TX
05
—
164378504
—
TX
01
—
85780U
BCBS # MESQUITE ANES
TX
01
—
89581U
BCBS
TX
01
—
P00749817
RAILROAD
TX
Enumeration date
07/25/2006
Last updated
06/07/2012
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