Organization
CHRISTOPHER R. JOHNSON, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER R JOHNSON M.D. (OWNER)
(903) 670-3185
Entity
Organization
Contact information
Practice address
115 MEDICAL CIR, SUITE 108, ATHENS, TX 75751-9124
(903) 670-3185
(903) 675-3105
Mailing address
115 MEDICAL CIR, SUITE 108, ATHENS, TX 75751-9124
(903) 670-3185
(903) 675-3105
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
TX
208000000X
Pediatrics Physician
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007LZ
BLUE CROSS BLUE SHIELD
TX
05
—
092333602
—
TX
05
—
164422101
—
TX
Enumeration date
06/12/2006
Last updated
03/06/2024
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