| Carson Lee Johnson, MD | |
|
4005 24th St, Lubbock, TX 79410-1835 | |
| (806) 792-2767 | |
| (888) 861-8858 |
| Full Name | Carson Lee Johnson |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 4005 24th St, Lubbock, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740284181 | NPI | - | NPPES |
| 87455Y | Other | TX | BLUE CROSS |
| 625839 | Other | FIRST HEALTH | |
| 134969807 | Medicaid | TX | |
| 116070100 | Other | TX | FIRSTCARE |
| F9958 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | H6318 (Texas) | Primary |
| Entity Name | Radiology Associates of North Texas PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710970975 PECOS PAC ID: 7911897301 Enrollment ID: O20180606001123 |
| Mailing Address | Practice Location Address |
|---|---|
| Carson Lee Johnson, MD 4005 24th St, Lubbock, TX 79410-1835 Ph: (806) 792-2767 | Carson Lee Johnson, MD 4005 24th St, Lubbock, TX 79410-1835 Ph: (806) 792-2767 |
Kulia Kini Kakarala, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-775-8445 |
Gregory Scott Poe, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 4005 24th St, Lubbock, TX 79410 Phone: 806-792-2767 Fax: 888-861-8858 |
Thomas Richard Windisch, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 21st St, Lubbock, TX 79410 Phone: 806-791-0399 Fax: 806-791-0373 |
Brian James Bruening, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3525 19th St, Lubbock, TX 79410 Phone: 806-687-8346 Fax: 888-856-2848 |
Sinan Ali Qurban Ali Bana, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 214-820-2361 |
Scott Cranston Porter, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4005 24th St, Lubbock, TX 79410 Phone: 806-792-2767 Fax: 888-861-8858 |
David Kirk Jenkins, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4101 22nd Pl, Lubbock, TX 79410 Phone: 806-725-8000 |