SearchTexasPhysician Assistant

Jack Johnson

NPI 1154075554 · on the registry since 2022 · sole proprietor

Practice

Address
212 Creek Loop Rd
Bastrop, TX 78602
Phone
(512) 988-6564

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Sex
Male
Record last updated
2022-02-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas