Search › Louisiana › 103TC0700X
Jack Johnson, PH.D
NPI 1295992030 · on the registry since 2008
Practice
- Address
- 7777 Hennessy Blvd Ste 501b
Baton Rouge, LA 70808 - Phone
- (225) 765-3456
- Fax
- (225) 765-5547
- Organisation at this address
- Voice Center
Bridges Urology
Robyn E Tyler Md
Lsuhn Billing Llc
Vick Surgical LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 545
Additional practice sites
- 12469 Timberwood Dr, Walker, LA
- 1931 S Burnside Ave, Gonzales, LA
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103T00000X
103TB0200X
103TM1800X - Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-20
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 Louisiana