Whalio Doctors

NPI 1366673303

Jon Robert Johnson, CPOLPO

Practitioner Prosthetist Fort Worth, TX

Practice location

Address
1101 W Vickery Blvd, Fort Worth, TX 76104-1025
Phone
(682) 303-3116
Fax
(682) 885-5606
Mailing address
PO Box 99283, Fort Worth, TX 76199-1383

Registered specialties (3)

Prosthetist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 1273 (TX)
Orthotist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 1273 (TX)
Other Technician
Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence ATP94445 (TX)

Registry record

NPI
1366673303
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Aug 2009
Record last updated
8 Sep 2022

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.