Johnson, Mark W
Johnson, Mark W is an individual health care provider with primary practice located at 3621 22Nd St Suite 400, Lubbock TX 79410-1301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Johnson, Mark W can be contacted via phone (806) 791-8484.Contact Information
Primary practice address
3621 22Nd St Suite 400
Lubbock TX 79410-1301
Phone: (806) 791-8484
Fax: (806) 791-8484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | F9626 | Texas |
Profile Details
| NPI number | 1205838653 |
|---|---|
| LBN Legal business name | Johnson, Mark W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Oct 12th, 2011 - about 14 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 | 1205838653 | NPPES |
| Texas | MEDICAID | 132871806 |
Popular Providers
-
Kadiyala, Srinivas P
3621 22Nd St Ste 400, Lubbock TX 79410-1301 -
Winn, Richard E
3601 4Th St , Lubbock TX 79430-9410 -
Tello, Wael
4407 6Th St , Lubbock TX 79416-4733 -
Chekuru, Naidu K
3621 22Nd St Ste 400, Lubbock TX 79410-1301 -
Chekuru, Syamala
3506 21St St Suite 602, Lubbock TX 79410-1212 -
Smith, Gary D
3621 22Nd St Ste 400, Lubbock TX 79410-1301 -
Hunter, Marque A.
3621 22Nd St. Suite 400, Lubbock TX 79410-1302 -
Jumper, Cynthia Ann
3601 4Th St 4C201, Lubbock TX 79430-9410