Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kevin Russell Johnson, PA-C

Individual provider Physician Assistant · NPI 1194745877

Mr. Kevin Russell Johnson, PA-C is a Physician Assistant in Dallas, Texas. Qualified in 2003, 23 years ago. Practices with AIDS Arms, Inc, a 20-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
23
Licensed in
TX
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5201 Harry Hines Blvd
Dallas, TX 75235-7708
Phone: (817) 343-0431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA04026 (TX)

Record details

NPI number1194745877
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESMarch 7, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Aids Arms, Inc. — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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