Dr Keith Johnson, MD | |
1904 Grandstand Dr, Suite 400, San Antonio, TX 78238-4508 | |
(210) 520-8071 | |
(210) 521-7688 |
Full Name | Dr Keith Johnson |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1904 Grandstand Dr, San Antonio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912966615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G3499 (Texas) | Primary |
2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | G3499 (Texas) | Secondary |
Entity Name | Southwest Medical Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831299122 PECOS PAC ID: 6204882947 Enrollment ID: O20050325000524 |
Mailing Address | Practice Location Address |
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Dr Keith Johnson, MD 28409 Quadrille Ln, Fair Oaks Ranch, TX 78015-4633 Ph: (210) 520-8070 | Dr Keith Johnson, MD 1904 Grandstand Dr, Suite 400, San Antonio, TX 78238-4508 Ph: (210) 520-8071 |
Dr. Jeff Sensenig, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8401 Datapoint Dr, Ste 500, San Antonio, TX 78229 Phone: 210-614-0180 Fax: 210-615-7170 | |
Adam Clemens Benzing, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7719 S I-35 Frontage Road, San Antonio, TX 78232 Phone: 210-572-2955 | |
Dr. John F. Bragan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1610 Wood Quail, San Antonio, TX 78248 Phone: 210-416-4420 Fax: 210-492-4317 | |
Dr. Joseph Michael Martin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 Alamosa Ave, San Antonio, TX 78210 Phone: 210-269-9372 | |
Luke Franklin Husby, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-450-9000 | |
Dr. Erica Lynn Hudson, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7930 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-297-5000 | |
Thomas Rex Bosen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7700 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-233-6363 |