| Matthew Johnston, PA-C | |
|
801 Matlock Rd, Mansfield, TX 76063-9174 | |
| (817) 347-8400 | |
| (817) 347-8495 |
| Full Name | Matthew Johnston |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 801 Matlock Rd, Mansfield, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952751562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10597 (Texas) | Primary |
| Entity Name | University of Texas Southwestern Medical Center at Dallas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
| Entity Name | Cook Childrens Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
| Entity Name | Texas Physician Resources, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639413289 PECOS PAC ID: 7012161375 Enrollment ID: O20130214000159 |
| Entity Name | Texas Medicine Resources, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376581900 PECOS PAC ID: 5890688212 Enrollment ID: O20130702000785 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Johnston, PA-C Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1855 | Matthew Johnston, PA-C 801 Matlock Rd, Mansfield, TX 76063-9174 Ph: (817) 347-8400 |
Mrs. Brittany Rachael Desantiago, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2975 E Broad St Ste 200, Mansfield, TX 76063 Phone: 682-518-8619 Fax: 682-518-8195 |
Mrs. Trupti Patel, PA-CC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1011 Matlock Rd, Mansfield, TX 76063 Phone: 817-225-6888 Fax: 817-377-6570 |
Joshua Dewayne Wright, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2975 E Broad St Ste 200, Mansfield, TX 76063 Phone: 806-447-5311 Fax: 806-447-3090 |
Ms. Tzietal Gail Davidson, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1601 E Debbie Ln, Suite 2109, Mansfield, TX 76063 Phone: 817-453-8620 Fax: 817-473-9126 |
Olha Elorreaga, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2801 E Broad St, Mansfield, TX 76063 Phone: 817-375-5200 |
Jeanette Lopez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1759 Broad Park Cir S Ste 201, Mansfield, TX 76063 Phone: 682-341-3910 |
Miss Ashlee Elaine Braziel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2700 E Broad St, Mansfield, TX 76063 Phone: 682-242-6470 |