Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

J. David Johnson, MD, PA

Organization Specialist · NPI 1376747196

J. David Johnson, MD, PA is a Specialist in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

618 S Broadway Ave
Tyler, TX 75701-1665
Phone: (903) 596-9900
Fax: (903) 596-0242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G7829 (TX)
Specialist Taxonomy 174400000X · Licence K4497 (TX)

Record details

NPI number1376747196
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Gordon — Ofc Mgr · (903) 596-9900
NPI enumeratedJune 14, 2007
Last updated in NPPESJanuary 28, 2008
Mailing address618 S Broadway Ave, Tyler, TX 75701-1665

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