Individual provider · Type 1 NPI

Edward Wallace Johnson Iii, MD

Family Medicine Physician · Bossier City, LA

NPI number 1285073890 Active

Practice location

2703 Beene Blvd
Bossier City, LA 71111-5491

Fax (318) 681-4514

Mailing address

PO Box 846098
Dallas, TX 75284-6098

Other practice locations

  • 2151 Airline Dr Ste 700, Bossier City, LA 71111-3398 · (318) 550-2176
  • 9300 Mansfield Rd Ste 110, Shreveport, LA 71118-3137 · (318) 681-6795
  • 1505 State Highway 19 S, Athens, TX 75751-8950 · (903) 675-1725
  • 7045 Youree Dr, Shreveport, LA 71105-5108 · (318) 681-6890

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X23591 (MS)
Family Medicine Physician Primary 207Q00000X338347 (LA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1285073890

Edward Wallace Johnson Iii, MD's National Provider Identifier is 1285073890, issued on Jun 17, 2013. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Bossier City, LA. The record was last updated on Oct 23, 2023.