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

Eddie Johnson

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1134630957

Eddie Johnson is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Lone Star, Texas. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

338 Bond St
Lone Star, TX 75668-0230
Phone: (903) 646-3171
Fax: (903) 646-0512
Show map & directions

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

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X

Record details

NPI number1134630957
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 19, 2017
Last updated in NPPESOctober 19, 2017

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