Dr. Pam L Johnson
General Practice Physician Gynecologist
1905 Dove Crossing Ln #c
Navasota
, Texas 77868-5272
Dr. Pam L Johnson
General Practice Physician Gynecologist
1905 Dove Crossing Ln #c
Navasota
, Texas 77868-5272
(979) 260-9390
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About
Features
Specialties
- Gynecologist
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Pam L Johnson
- 1500 University Dr E Suite 100
- College Station, TX
- Zip : 77840-2600
- Fax : (979) 260-9390
- Phone : (936) 846-1100
Second Address
- Dr. Pam L Johnson
- 1905 Dove Crossing Ln #c
- Navasota, TX
- Zip : 77868-5272
- Fax : (936) 825-8001
- Phone : (936) 825-0000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207VG0400X | Gynecologist | M5254 | TX |
| Y | 208D00000X | General Practice Physician | M5254 | TX |
National Provider Identifier
| NPI | 1184764235 |
|---|---|
| Provider Name | Dr. Pam L Johnson |
| First Address | College Station, TX 77840-2600 |
| Second Address | Navasota, TX 77868-5272 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2007 |
| Last Update Date | 09/08/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0009516-07 | TPI (MEDICAID NUMBER) GRIMES COUNTY COMMUNITY HEALTH CENTER (01) | TX |
| 45-1981 | PTAN (MEDICARE NUMBER) GRIMES COUNTY COMMUNITY HEALTH CENTER (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.