| Mr Jerry Albert Johnstone, PHYSICIAN ASSISTANT | |
|
1201 Enterprise Ave, Apt 610, Lake City, TX 77573 | |
| (806) 396-5583 | |
| (806) 366-2713 |
| Full Name | Mr Jerry Albert Johnstone |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1201 Enterprise Ave, Lake City, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326370420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA01624 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jerry Albert Johnstone, PHYSICIAN ASSISTANT P.o. Box 1107, Stratford, TX 79084 Ph: (806) 396-5583 | Mr Jerry Albert Johnstone, PHYSICIAN ASSISTANT 1201 Enterprise Ave, Apt 610, Lake City, TX 77573 Ph: (806) 396-5583 |