Fredric D Johnson MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G8201 Issued in TX

Legal business name

FREDRIC D JOHNSON MD PA

Practice address

6100 Harris Pkwy
Suite 205
Fort Worth, TX 76132-4101

Phone

(817) 346-5266

Fax

(817) 346-5267

NPI assigned

Nov 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vicki Marie Lucas

Title

Office Manager

Phone

(817) 346-5266

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1467633669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY",
            "address_2": "SUITE 205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324101",
            "telephone_number": "817-346-5266",
            "fax_number": "817-346-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY",
            "address_2": "SUITE 205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324101",
            "telephone_number": "817-346-5266",
            "fax_number": "817-346-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDRIC D JOHNSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-346-5266"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Michael Frazier, D.O.
• Fred L. Spradley, D.D.S., M.S.D., P.a.
• Stephanie Fredeking
• Nicole Lea Frederick, DNP, APRN,ACCNS-AG
• Kristin Jo Frederiksen, L.M.S.W.
• Rhett Keyser Fredric, MD
• Chelsea Victoria Fredrick, SLP
• Free to Be Counseling PLLC
• Katherine Isaiah Free, M.S., CCC-SLP
• Meghan A Freed, NP

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.