Individual provider · Type 1 NPI

Marc Edward Johnson, MD

Adult Medicine Physician · Fort Worth, TX

NPI number 1730475815 Active

Practice location

1350 S Main St Ste 1600
Fort Worth, TX 76104-7663

Call (817) 702-3701 Map

Other practice locations

  • 545 Brookway Blvd, Brookhaven, MS 39601-3266 · (601) 748-8153

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X23972 (MS)
Family Medicine Physician 207Q00000XE8843 (AR)
Adult Medicine Physician Primary 207QA0505XS-7461 (TX)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

6 other providers at this address

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About NPI 1730475815

Marc Edward Johnson, MD's National Provider Identifier is 1730475815, issued on Jun 27, 2011. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Fort Worth, TX. The record was last updated on May 23, 2025.