Doctor Name: | DR. RONALD W JOHNS |
NPI Number: | 1750376703 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | J6507 |
Business Practice Address: | 608 Gateway Central Suite 100 Marble Falls, TX - 786546354 |
Business Phone Number: | 8306932005 |
Business Fax Number: | 8307982006 |
Mailing Address: | 608 Gateway Central, Suite 100 MARBLE FALLS |
State: | TX |
Postal Code: | 786546354 |
Phone Number: | 8306932005 |
Fax Number: | 8307982006 |
NPI Enumeration Date: | 09/15/2005 |
NPI Last Update Date: | 10/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | J6507 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |