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

Douglas Frederick Johnston, DO

Individual provider Family Medicine Physician · NPI 1083641559

Douglas Frederick Johnston, DO is a Family Practice in Tyler, Texas. Qualified in 2000, 26 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
26
Licensed in
TX
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6210 S Broadway Ave
Tyler, TX 75703-4413
Phone: (903) 579-2700
Fax: (903) 534-9463
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence L7432 (TX)

Record details

NPI number1083641559
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 28, 2006
Last updated in NPPESJanuary 3, 2008
Mailing addressPo Box 9477, Tyler, TX 75711-9477

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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