Johnson, James Daniel

Johnson, James Daniel is an individual health care provider with primary practice located at 1300 W Terrell Ave Suite 420, Fort Worth TX 76104-2820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Johnson, James Daniel can be contacted via phone (817) 784-8268.

Contact Information

Primary practice address
1300 W Terrell Ave Suite 420 Fort Worth TX 76104-2820
Phone: (817) 784-8268
Fax: (817) 336-8034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X E1206 Texas

Profile Details

NPI number 1205822699
LBN Legal business name Johnson, James Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jun 19th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205822699 NPPES
Texas MEDICAID 124984905
Texas MEDICAID 124984907
Texas Other 124984908
Texas MEDICAID 124984909
Texas MEDICAID 124984906

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