Organization
KEITH R. JOHNSON,M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH RANDAL JOHNSON M.D. (PHYSICIAN/OWNER)
(915) 838-3888
Entity
Organization
Contact information
Practice address
1300 MURCHISON DR, SUITE, 310, EL PASO, TX 79902-4842
(915) 838-3888
(915) 838-3889
Mailing address
1300 MURCHISON DR, SUITE, 310, EL PASO, TX 79902-4842
(915) 838-3888
(915) 838-3889
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L4010
TX
Other
Enumeration date
01/27/2009
Last updated
03/11/2010
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