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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HENRY JOHNSON JR., PA-C

Active

Physician Assistant · FORT POLK, LA

Registration Details

NPI Number
1316051964
Provider Type
Individual
Gender
Male
NPI Issued
Aug 19, 2006 (19.685321730557 yrs)
Last Updated
Oct 15, 2021
License
A10309 (LA)

Practice Information

Address
1585 3RD ST
FORT POLK, LA, 714595102
Browse LA providers · Browse ZIP 71459
Phone
3375313942
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FORT POLK, LA

Name Credential NPI
MR. ALVIN MAURICE HORN II PA-C 1558335497
MR. AGOSTINO STEPHEN DIROMA PA-C 1639144389
MRS. ROSALYN FITZPATRICK PHYSICIAN ASSISTANT 1871554188
MR. RODERICK KELLY PA 1275637472
TROY LOUIS BIDEZ PA-C 1457414575
MR. MARK ALEXANDER AZEL PA-C 1053477950
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.