Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK JOHNSON
Active Sole ProprietorJACK JOHNSON is a Physician Assistant healthcare provider located in BASTROP, Texas. NPI 1154075554 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BASTROP, TX
Registration Details
- NPI Number
- 1154075554
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 5, 2022 (4.3382913281076 yrs)
- Last Updated
- Feb 5, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
212 CREEK LOOP RDBASTROP, TX, 786023197Browse TX providers · Browse ZIP 78602
- Phone
- 5129886564
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BASTROP, TX
| Name | Credential | NPI |
|---|---|---|
| CARL RONALD BERG | PA-C | 1659396398 |
| JOHN ANDREW SANDOVAL | PA-C | 1952424368 |
| THOMAS MICHAEL FIELDS | PA | 1346443900 |
| LANCE A BEAHM | PA-C | 1912239690 |
| MS. CHARA DE'ANDRE BROWN | PA-C | 1679891717 |
| MR. JOSE MANUEL PEREZ II | PA-C | 1578963450 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.