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Individual

STEVEN JOHNSON

Active
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Individual

STEVEN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
P5390
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
325724YMAF
MEDICARE
TX
01
75-0818167-051
TRICARE
TX
01
75-2616977-015
TRICARE
TX
01
752616977015
TRICARE
TX
Enumeration date
10/24/2007
Last updated
12/17/2024
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