Timothy Johnson, PA

NPI #1912913807 in Lufkin, Texas

Provider Information

NPI Number
1912913807
Entity Type
Individual
Name
Timothy Johnson, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Jul 31, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1301 W FRANK AVE
City
Lufkin
State
Texas
ZIP Code
75904-3305
Phone
(936) 633-2758

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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