| Laura Marie Johnson, | |
|
5245 W Highway 290, Austin, TX 78735-8963 | |
| (512) 654-2100 | |
| (512) 654-2101 |
| Full Name | Laura Marie Johnson |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 5245 W Highway 290, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295238012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 326825 (Louisiana) | Secondary |
| 207R00000X | Internal Medicine | T7606 (Texas) | Primary |
| Entity Name | Hospitalist Medicine Physicians Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20151021000365 |
| Entity Name | Cogent Healthcare Of Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992722953 PECOS PAC ID: 8628076924 Enrollment ID: O20190923002250 |
| Entity Name | Lc Hospital Medicine Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417654724 PECOS PAC ID: 9739546805 Enrollment ID: O20230605001940 |
| Entity Name | Northeast Louisiana Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407637671 PECOS PAC ID: 2365885944 Enrollment ID: O20240212000148 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Marie Johnson, Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Laura Marie Johnson, 5245 W Highway 290, Austin, TX 78735-8963 Ph: (512) 654-2100 |
Dr. Tatiana B. Jacobson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5656 Bee Caves Rd. Bldg C Ste. 102, Austin, TX 78746 Phone: 512-323-5465 Fax: 512-327-1390 | |
Preeti Venkatraman, M.B.B.S. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 E 15th St, Austin, TX 78701 Phone: 512-324-7000 | |
Pritesh Harish Gandhi, M.D., M.P.H. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 Camino La Costa, Austin, TX 78752 Phone: 512-684-1832 | |
Dr. Joshua Lane Davis, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1004 W 32nd St Unit 300, Austin, TX 78705 Phone: 512-324-3440 | |
Dr. Grace Marie Grant-jennings, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7000 North Mopac, Suite # 420, Austin, TX 78731 Phone: 512-482-0045 Fax: 512-476-9892 | |
Dr. Debra Ann Patt, MD, MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6204 Balcones Dr, Austin, TX 78731 Phone: 512-427-9400 Fax: 512-342-2723 | |
Dr. Matthew Morris Medlock, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6233 Carrington Dr, Austin, TX 78749 Phone: 512-293-0247 |