Individual provider · Type 1 NPI

Kevin Russell Johnson, PA-C

Physician Assistant · Dallas, TX

NPI number 1194745877 Active

Practice location

5201 Harry Hines Blvd
Dallas, TX 75235-7708

Mailing address

5541 Goodwin Ave
Dallas, TX 75206-6212

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA04026 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1194745877

Kevin Russell Johnson, PA-C's National Provider Identifier is 1194745877, issued on Jul 19, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Dallas, TX. The record was last updated on Mar 7, 2023.