Individual provider · Type 1 NPI

Charles F. Johnson, M. D.

Student in an Organized Health Care Education/Training Program · Texarkana, AR

NPI number 1174713200 Active

Practice location

300 E 6th St
Texarkana, AR 71854-5207

Call (870) 779-6000 Map

Fax (870) 779-6119

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174713200

Charles F. Johnson, M. D.'s National Provider Identifier is 1174713200, issued on Jul 25, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Texarkana, AR. The record was last updated on Jul 25, 2007.