Dr. Trevor A Johnson
Family Doctor Emergency Physician
1500 S Main St
Ft Worth
, Texas 76104
Dr. Trevor A Johnson
Family Doctor Emergency Physician
1500 S Main St
Ft Worth
, Texas 76104
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About
Features
Specialties
- Emergency Physician
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Trevor A Johnson
- 1500 S Main St
- Ft Worth, TX
- Zip : 76104-4917
- Phone :
Second Address
- Dr. Trevor A Johnson
- 1500 S Main St
- Ft Worth, TX
- Zip : 76104
- Phone : (817) 702-3431
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | R4856 | TX |
| Y | 207Q00000X | Family Doctor | R4856 | TX |
National Provider Identifier
| NPI | 1003278003 |
|---|---|
| Provider Name | Dr. Trevor A Johnson |
| First Address | Ft Worth, TX 76104-4917 |
| Second Address | Ft Worth, TX 76104 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2016 |
| Last Update Date | 11/06/2019 |
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.