DR. JIMMY DALE JOHNSON DO - NPI 1902867872 - General Practice in Dallas, TX

Q: What is Jimmy Johnson's NPI number?

The NPI number for Jimmy Johnson is 1902867872. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Q: What is Jimmy Johnson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Jimmy Johnson was last updated on October 12, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Jimmy Dale Johnson Do NPPES

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

DR. JIMMY DALE JOHNSON DO (NPI 1902867872) is an individual general practice provider in Dallas, Texas, licensed in Texas (D0477) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1902867872

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. JIMMY DALE JOHNSONCredential: DO

Location Address2301 S HAMPTON RD, STE 900Dallas, TX 75224

Mailing Address2301 S Hampton Rd, Ste 900Dallas, TX 75224 · (214) 330-9201 · Fax (214) 339-9577

Phone(214) 330-9201

Fax(214) 339-9577

Sole ProprietorYes

Enumeration DateMarch 30, 2006

Last NPPES UpdateOctober 12, 2007

✔ NPI 1902867872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in TX · D0477

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

2301 S HAMPTON RD, Dallas, TX 75224

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