| Weldon Johnson Jr, D.O. | |
|
7617 Lakeview Pkwy Rowlett TX 75088-4356 | |
| (972) 475-1351 | |
| (972) 412-8220 |
| Full Name | Weldon Johnson Jr, D.O. |
|---|---|
| Speciality | Family Medicine |
| Location | 7617 Lakeview Pkwy, Rowlett, Texas |
| Authorized Official Name and Position | Weldon R Johnson (PHYSICIAN) |
| Authorized Official Contact | 9724751351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Weldon Johnson Jr, D.O. 7617 Lakeview Pkwy Rowlett TX 75088-4356 Ph: (972) 475-1351 | Weldon Johnson Jr, D.O. 7617 Lakeview Pkwy Rowlett TX 75088-4356 Ph: (972) 475-1351 |
| NPI Number | 1447568225 |
|---|---|
| Provider Enumeration Date | 09/15/2010 |
| Last Update Date | 09/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447568225 | NPI | - | NPPES |
| 0919714-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H1113 (Texas) | Primary |
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