FREDRIC D JOHNSON MD PA
NPI 1467633669
Family Medicine in Fort Worth, TX

Q: What is Fredric D Johnson MD PA's NPI number?

The NPI number for Fredric D Johnson MD PA is 1467633669. It was assigned to this organization in the NPPES registry on November 16, 2007.

Q: What is Fredric D Johnson MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 16, 2007

6100 HARRIS PKWY, SUITE 205, FORT WORTH, TX 76132(817) 346-5266(817) 346-5267 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fredric D Johnson Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDRIC D JOHNSON MD PA (NPI 1467633669) is a healthcare organization registered as a family medicine in Fort Worth, Texas and active in the NPI registry since November 2007. The organization lists Vicki Marie Lucas, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1467633669

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFREDRIC D JOHNSON MD PA

Location Address6100 HARRIS PKWY, SUITE 205Fort Worth, TX 76132-4101

Mailing Address6100 Harris Pkwy, Suite 205Fort Worth, TX 76132-4101 · (817) 346-5266 · Fax (817) 346-5267

Phone(817) 346-5266

Fax(817) 346-5267

Organization SubpartNo

Authorized OfficialVicki Marie LucasOffice Manager · (817) 346-5266

Enumeration DateNovember 16, 2007

✔ NPI 1467633669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · G8201

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6100 HARRIS PKWY, Fort Worth, TX 76132

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Other Identifiers 2

Medicare UPINC17501TX

Medicare PIN00887TTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANJANETTE OSTROM AGACNP-BC

Nurse Practitioner (Acute Care)

6100 HARRIS PKWY
FORT WORTH, TX 76132

Tarrant County (817) 433-5977

RAJKUMAR SOMASUNDARAM FNP-BC

Nurse Practitioner (Family)

6100 HARRIS PKWY
FORT WORTH, TX 76132

Tarrant County (490) 681-7820

HANSON INTERNAL MEDICINE, P.A.

Internal Medicine

6100 HARRIS PKWY, SUITE 240
FORT WORTH, TX 76132

Tarrant County (817) 504-5699

PAMELA J MAINOUS

Specialist/Technologist, Other (Surgical Assistant)

6100 HARRIS PKWY
FORT WORTH, TX 76132

Tarrant County (817) 346-5000

DEVEN EMMANUEL GULICK MD

Internal Medicine

6100 HARRIS PKWY
FORT WORTH, TX 76132

Tarrant County (817) 433-5977

GREGORY WAYNE HANSON M.D.

Internal Medicine

6100 HARRIS PKWY, SUITE 240
FORT WORTH, TX 76132

Tarrant County (817) 504-5699

LYNNE R TILKIN DO

Family Medicine

6100 HARRIS PKWY, STE 350
FORT WORTH, TX 76132

Tarrant County (817) 433-5580

DR. ILONA NEKHAYEVA MD., PHD

Family Medicine

6100 HARRIS PKWY
FORT WORTH, TX 76132

Tarrant County (817) 433-5977

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fredric D Johnson MD PA's NPI number?

The NPI number for Fredric D Johnson MD PA is 1467633669. It was assigned to this organization in the NPPES registry on November 16, 2007.

Where is Fredric D Johnson MD PA located?

Fredric D Johnson MD PA is located at 6100 Harris Pkwy Suite 205, Fort Worth, TX 76132. The listed phone number is (817) 346-5266.

What is Fredric D Johnson MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Fredric D Johnson MD PA was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.