Johnson, Gerald Jerard
Johnson, Gerald Jerard is an individual health care provider with primary practice located at 5252 W University Dr Attn: Mkipcu, Mckinney TX 75071-7822. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Johnson, Gerald Jerard can be contacted via phone (469) 764-6950.Contact Information
Primary practice address
5252 W University Dr Attn: Mkipcu
Mckinney TX 75071-7822
Phone: (469) 764-6950
Fax: (469) 764-6954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | M3276 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M3276 | Texas |
Profile Details
| NPI number | 1093739716 |
|---|---|
| LBN Legal business name | Johnson, Gerald Jerard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Feb 24th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093739716 | NPPES |
| Texas | MEDICAID | 1805921-04 | |
| Texas | MEDICAID | 180592101 | |
| Texas | MEDICAID | 200098530A |
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