Individual provider · NPI-1
Dr. Rashad Jamar Johnson, M.D.
Radiology, Diagnostic Radiology · Hurst, TX
NPI number1962817072
StatusActive
Last updated in NPPESNov 13, 2020
Details
- NPI
- 1962817072
- Entity type
- Individual (NPI-1)
- Name
- Dr. Rashad Jamar Johnson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2014
- Certification date
- Nov 13, 2020
- Last updated
- Nov 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | S0913 | TX | Yes |
| 207R00000X | Internal Medicine | 6784 | GA |
Practice location
1845 Precinct Line Rd Ste 209Hurst, TX 76054-3109
Phone 817-632-5803 · Fax 817-632-5803
Mailing address
1845 Precinct Line Rd Ste 209Hurst, TX 76054-3109
Phone 817-632-5803 · Fax 817-632-5803
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