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Benjamin Johnson, PA-C, ATC

NPI 1336301480 · on the registry since 2008

Practice

Address
2703 82nd St
Lubbock, TX 79423
Phone
(806) 761-0333
Fax
(806) 782-0097
Organisation at this address
United Supermarkets Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
2255A2300X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-05-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas