Individual
THOMAS G JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 W CAMPBELL RD, RICHARDSON, TX 75080
(972) 498-4000
Mailing address
PO BOX 1888, GREENVILLE, TX 75403
(800) 945-2455
(903) 453-2541
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
F2737
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105612909
—
TX
05
—
105612911
—
TX
01
—
8U5021
BCBS
—
Enumeration date
04/17/2006
Last updated
05/09/2008
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