Provider Demographics
NPI:1184686073
Name:JOHNSON, ROBERT LOWELL (MD, MBA, FACP)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LOWELL
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:MD, MBA, FACP
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Mailing Address - Street 1:3901 W 15TH ST
Mailing Address - Street 2:DIRECTOR OF HOSPITALIST SERVICES
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7738
Mailing Address - Country:US
Mailing Address - Phone:972-519-1530
Mailing Address - Fax:972-519-1531
Practice Address - Street 1:3901 W 15TH ST
Practice Address - Street 2:DIRECTOR OF HOSPITALIST SERVICES
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7738
Practice Address - Country:US
Practice Address - Phone:972-519-1530
Practice Address - Fax:972-519-1531
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
TXJ0024207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXJ0024OtherSTATE LICENSE
BJ2896302OtherDEA#
TXF67751Medicare UPIN