| Christopher R. Johnson, M.d., P.a. | |
|
115 Medical Cir Suite 108 Athens TX 75751-9124 | |
| (903) 670-3185 | |
| (903) 675-3105 |
| Full Name | Christopher R. Johnson, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 115 Medical Cir, Athens, Texas |
| Authorized Official Name and Position | Christopher R Johnson (OWNER) |
| Authorized Official Contact | 9036703185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher R. Johnson, M.d., P.a. 115 Medical Cir Suite 108 Athens TX 75751-9124 Ph: (903) 670-3185 | Christopher R. Johnson, M.d., P.a. 115 Medical Cir Suite 108 Athens TX 75751-9124 Ph: (903) 670-3185 |
| NPI Number | 1932141264 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 03/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932141264 | NPI | - | NPPES |
| 164422101 | Medicaid | TX | |
| 092333602 | Medicaid | TX | |
| 0007LZ | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Texas) | Primary |
| 208000000X | Pediatrics | (Texas) | Secondary |
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