Individual provider · Type 1 NPI

Timothy Johnson, PA

Medical Physician Assistant · Lufkin, TX

NPI number 1912913807 Active

Practice location

1301 W Frank Ave
Lufkin, TX 75904-3305

Mailing address

2602 Tulane Dr
Lufkin, TX 75901-7246

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA02448 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1912913807

Timothy Johnson, PA's National Provider Identifier is 1912913807, issued on Jul 31, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lufkin, TX. The record was last updated on Jul 8, 2007.