Individual provider · Type 1 NPI

David Johnson Iv, MD

Military Health Care Provider · Fort Bliss, TX

NPI number 1104614833 Active

Practice location

18511 Highlander Medics St
Fort Bliss, TX 79906-5327

Call (317) 208-0416 Map

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1104614833

David Johnson Iv, MD's National Provider Identifier is 1104614833, issued on Apr 30, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fort Bliss, TX. The record was last updated on Feb 11, 2026.