KEITH R. JOHNSON,M.D., P.A.
Medical Practice in El Paso, TX

License number
Texas L4010
Category
Medical Practice
Type
Specialist
Owner
Name: DR. KEITH RANDAL JOHNSON M.D.
Title: PHYSICIAN/OWNER
Phone: (915) 838-3888
Address
Address
1300 Murchison Dr Suite, El Paso, TX 79902
National Provider ID: 1962640052
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KEITH R. JOHNSON, M.D., PA

El Paso, TX

Registration:
Sep 10, 2008
Addresses:
1300 Murchison Dr STE 310, El Paso, TX 79902 (Mailing)
10410 Vis Del Sol Dr, El Paso, TX 79925
State ID:
0801027436
Business type:
Professional Association
President, Director, Member:
Keith Randal Johnson (President, Director, Member)
Agent:
Keith R. Johnson,1300 Murchison SUITE 310, El Paso, TX 79902 (Physical)
TIN:
32037915470

Keith R. Johnson, M.D., PA

7430 Remcon Cir, El Paso, TX 79912

Industry:
Medical Doctor's Office
Principal:
Keith R. Johnson Principal, inactive

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