Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A125165 | CA |
N | 207V00000X | Obstetrician & Gynecologist | R6421 | TX |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | R6421 | TX |
NPI | 1003194853 |
---|---|
Provider Name | Dr. Robert C Johnston |
First Address | Austin, TX 78758-5654 |
Second Address | Austin, TX 78758 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2011 |
Last Update Date | 27/12/2021 |