Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK C JOHNSTON, M.D.
ActiveDR. JACK C JOHNSTON, M.D. is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in PT. ARTHUR, Texas. NPI 1922082940 is currently active in the NPPES registry. Verify at CMS.
Adult Reconstructive Orthopaedic Surgery · PT. ARTHUR, TX
Registration Details
- NPI Number
- 1922082940
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 2, 2005 (20.743159717741 yrs)
- Last Updated
- Apr 7, 2015
- License
-
K6025 (TX)
Practice Information
- Address
-
2501 JIMMY JOHNSON BLVDSUITE 400PT. ARTHUR, TX, 77640Browse TX providers · Browse ZIP 77640
- Phone
- 4098380346
- Fax
- 4098393720
- Primary Specialty
-
Adult Reconstructive Orthopaedic Surgery
207XX0005X
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.