| Bryan G. Johnson Md, Pa | |
|
6842 W Main St 203 Frisco TX 75033-4243 | |
| (469) 633-9300 | |
| (469) 633-9301 |
| Full Name | Bryan G. Johnson Md, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6842 W Main St, Frisco, Texas |
| Authorized Official Name and Position | Bryan G Johnson (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4696339300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan G. Johnson Md, Pa 6842 W Main St 203 Frisco TX 75033-4243 Ph: (469) 633-9300 | Bryan G. Johnson Md, Pa 6842 W Main St 203 Frisco TX 75033-4243 Ph: (469) 633-9300 |
| NPI Number | 1043491327 |
|---|---|
| Provider Enumeration Date | 11/15/2007 |
| Last Update Date | 08/24/2011 |
| Medicare PECOS PAC ID | 0547330417 |
|---|---|
| Medicare Enrollment ID | O20080620000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043491327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L0833 (Texas) | Primary |
| Provider Name | Bryan G Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154340925 PECOS PAC ID: 1759302060 Enrollment ID: I20051214000823 |
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