Timothy Johnson PA

NPI 1912913807 - Physician Assistant - 363AM0700X

NPI Details
NPI 1912913807
Gender Male
Enumeration Date 07/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1301 W FRANK AVE
LUFKIN TX, 75904-3305, US
Phone (936) 633-2758
Fax
Business Location
2602 TULANE DR
LUFKIN TX, 75901-7246, US
Phone (936) 637-1439
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Texas
License Number PA02448
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According to our database, Timothy Johnson PA NPI is 1912913807, taxonomy code is 363AM0700X and license number is PA02448, license state is located at Texas. Timothy Johnson PA physically located at 1301 W Frank Ave, Lufkin TX, 75904-3305. NPI Number Timothy Johnson PA has the Individual type.

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1912913807 NPI number is provided on an as is basis without warranty of any kind. 1912913807 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Johnson PA are for informational purposes only.