Doctor Name: | MR. THOMAS J. JOHNSON |
NPI Number: | 1023346525 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.P.P. |
License Number: | OPP00096 |
Business Practice Address: | 1311 Strozier Ct Barling, AR - 729232035 |
Business Phone Number: | 4797397720 |
Business Fax Number: | |
Mailing Address: | 1311 Strozier Ct, BARLING |
State: | AR |
Postal Code: | 729232035 |
Phone Number: | 4797397720 |
Fax Number: | |
NPI Enumeration Date: | 11/23/2009 |
NPI Last Update Date: | 11/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | OPP00096 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |