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Jacob Johnston
NPI 1760329973 · on the registry since 2026
Practice
- Address
- 2045 N Hwy 360 Ste 100
Grand Prairie, TX 75050 - Phone
- (972) 623-1111
- Organisation at this address
- Earth Angels Pediatric Day Center Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-04
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