NPI 1003603465
Mitchell Johnson
Practice location
- Address
- 1500 S Main St, Fort Worth, TX 76104-4917
- Phone
- (817) 702-1100
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1003603465
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Apr 2025
- Record last updated
- 21 Apr 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.