| Harold V. Johnson, Iii Md Pa | |
|
800 8th Ave Suite #412 Fort Worth TX 76104-2618 | |
| (817) 336-0337 | |
| (817) 336-8853 |
| Full Name | Harold V. Johnson, Iii Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 8th Ave, Fort Worth, Texas |
| Authorized Official Name and Position | Harold V. Johnson (PRESIDENT) |
| Authorized Official Contact | 8173360337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harold V. Johnson, Iii Md Pa 800 8th Ave Suite #412 Fort Worth TX 76104-2601 Ph: (817) 336-0337 | Harold V. Johnson, Iii Md Pa 800 8th Ave Suite #412 Fort Worth TX 76104-2618 Ph: (817) 336-0337 |
| NPI Number | 1639249006 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 02/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639249006 | NPI | - | NPPES |
| 00N087 | Other | TX | BLUE CROSS & BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D5048 (Texas) | Primary |
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