Gregory Calvin Johnson, IDHS

NPI #1841961034 in Port O Connor, Texas

Provider Information

NPI Number: 1841961034
Entity Type: Individual
Name: Gregory Calvin Johnson, IDHS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Credential: IDHS
Enumeration Date: Sep 27, 2021
Last Updated: Sep 27, 2021

Practice Location

Address: 2307 W MAPLE ST STE B
City: Port O Connor
State: Texas
ZIP Code: 77982-2205
Phone: (361) 983-2617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X	Primary

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