Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
12221 MERIT DR SUITE 1610
DALLAS, TX 75251-2202 US

Frederick C Johnson, DO

Pediatrician


Frederick C Johnson, DO

Overview

Frederick C Johnson, DO is a Pediatrician in the DALLAS area. Frederick C Johnson, DO primary office location is at 12221 MERIT DR and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1205851672 and the information was updated approximately 7 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
12221 MERIT DR SUITE 1610
DALLAS, TX 75251-2202 US
Phone: (214)-217-1911
Fax:
Practice Mailing Information
7914 ENCLAVE WAY
DALLAS, TX 75251-2202 US
Phone: (214)-263-1445
Fax:
License Number State
L4474 TX
Type/Issuer IdentifierState
164307406 TX
164307404 TX
164307403 TX
BCBS 8S2689 TX
23981741 NM

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
PECOS PART B Yes
PECOS DME Yes
PECOS HHA Yes
PECOS PMD Yes
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