Benjamin L. Johnson, PA-C, ATC

Physician Assistant · Lubbock, TX

Individual Active NPI

NPI number 1336301480

Practice location

2703 82ND St
Lubbock, TX 79423-1429
Phone
(806) 761-0333
Fax
(806) 782-0097

Open in Google Maps

NPI record

NPI
1336301480
Entity type
Individual (Type 1)
Enumeration date
June 30, 2008
Last updated
May 18, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA09255 TX
Athletic Trainer 2255A2300X 050802360 TX

Mailing address

5733 107TH St
Lubbock, TX 79424-8247
Phone
(806) 792-4329
Fax
(806) 795-0986

About Benjamin Johnson

Benjamin L. Johnson, PA-C, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2703 82ND St, Lubbock, TX 79423-1429. The NPI number 1336301480 was assigned on June 30, 2008 and the record was last updated on May 18, 2016.

Benjamin Johnson lists 2 licenses in the registry: #PA09255 (TX) for Physician Assistant; #050802360 (TX) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Benjamin L. Johnson, PA-C, ATC?

The NPI number is 1336301480.

What is the phone number of Benjamin Johnson?

The phone number listed for the practice location is (806) 761-0333.

Where is Benjamin Johnson located?

2703 82ND St, Lubbock, TX 79423-1429.

What is the taxonomy code for Benjamin Johnson?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physician Assistant providers in Lubbock

All Physician Assistant providers in Lubbock, TX →