Individual
JONATHAN TODD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1710 N GREENVILLE AVE STE 110, ALLEN, TX 75002-8861
(682) 303-2600
(682) 303-2601
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N6895
TX
Other
Enumeration date
08/07/2007
Last updated
01/10/2022
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