Individual provider · Type 1 NPI

Michael Howard Johnson, PA-C

Medical Physician Assistant · Fort Worth, TX

NPI number 1073533725 Active

Practice location

4504 Boat Club Rd Ste 800
Fort Worth, TX 76135-7002

Call (817) 237-0515 Map

Mailing address

9157 Steiner St
Keller, TX 76248-6197

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA01163 (TX)

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1073533725

Michael Howard Johnson, PA-C's National Provider Identifier is 1073533725, issued on Jul 19, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 8, 2007.