Johnson, Jason Dean

Johnson, Jason Dean is an individual health care provider with primary practice located at 1807 W Slaughter Ln Ste 490 , Austin TX 78748-6208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Johnson, Jason Dean can be contacted via phone (512) 282-8967.

Contact Information

Primary practice address
1807 W Slaughter Ln Ste 490 Austin TX 78748-6208
Phone: (512) 282-8967
Fax: (512) 292-5125
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X P0909 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036100533 Illinois

Profile Details

NPI number 1295727410
LBN Legal business name Johnson, Jason Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Mar 9th, 2016 - about 9 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 1295727410 NPPES
Texas MEDICAID 285993602
Texas MEDICAID 36100533
Texas Other 216741895001
Texas MEDICAID 34738800
Texas Other P00406743
Texas MEDICAID 285993601

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