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

Jack L. Johnson Jr , MD, PA

Organization Family Medicine Physician · NPI 1912165218

Jack L. Johnson Jr , MD, PA is a Family Medicine Physician in Lewisville, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008
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

560 W Main St Ste 100
Lewisville, TX 75057-3629
Phone: (972) 436-9797
Fax: (972) 436-9790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence H5576 (TX)

Record details

NPI number1912165218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Johnson — Owner/Physician · (972) 436-9797
NPI enumeratedMay 23, 2008
Last updated in NPPESNovember 21, 2008
Mailing address560 W Main St, Suite 100, Lewisville, TX 75057-3629

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