Provider Demographics
NPI:1528352135
Name:DON F JOHNSTON, MD, PA
Entity type:Organization
Organization Name:DON F JOHNSTON, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BACK OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:G
Authorized Official - Last Name:LEPPERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-540-1055
Mailing Address - Street 1:350 WESTPARK WAY STE 204
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-3738
Mailing Address - Country:US
Mailing Address - Phone:817-540-1055
Mailing Address - Fax:817-540-0903
Practice Address - Street 1:350 WESTPARK WAY STE 204
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-3738
Practice Address - Country:US
Practice Address - Phone:817-540-1055
Practice Address - Fax:817-540-0903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-01
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE3569207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty