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NPI 1003214859
● Active Type 2 · Organization
Johnson & Havener Medical Services, PA
Medical (Physician Assistant) · Mission, TX · NPI 1003214859
·
Enumerated 2014 · 11 years on NPI
Johnson & Havener Medical Services, PA is 1 of 2,224 medical (physician assistant) organizations in Texas.
NPI age
11 years
Enumerated 2014-12-10
Primary specialty
Medical (Physician Assistant)
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
President
Last NPPES update
2014-12-10
Source: CMS NPPES provider record
How this organization compares
Across 2224 active medical (physician assistant) providers in Texas.
NPI age
11 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2014 → 2014
2014-12 Enumerated in NPPES
2014
2014
Where they practice
Primary practice location
1920 E Griffin Pkwy
Mission, TX 785723106
📞 9565843353 fax 9565843253
Mailing address
2421 Live Oak St
Mission, TX 785743303
📞 6028855094 fax 9565843253
Authorized official
Jere M Johnson, MD
President
📞 9565843353
Other providers sharing this address
12 individual providers use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.
Sylvia Bustamante , PA
Physician Assistant
NPI 1891980223
Daniel Contreras , MD
Family Medicine
NPI 1639496177
Priscila Gomez , PA-C
Physician Assistant
NPI 1316687981
Steven Havener , M.D.
Family Medicine
NPI 1235172610
Jere Johnson , M.D.
Family Medicine
NPI 1053355578
Jennifer Lopez , NP-C
Nurse Practitioner
NPI 1841757085
Jose Martinez , PA
Physician Assistant
NPI 1083102768
Dulce Olivarez , FNP
Nurse Practitioner
NPI 1356054589
Andrea Ramos
Registered Nurse
NPI 1497670772
Erica Robles , FNP
Nurse Practitioner
NPI 1790200368
Linda Ruiz , M.D.
Family Medicine
NPI 1841432762
Ashley Rutledge , FNP-BC
Nurse Practitioner
NPI 1124679246
Specialties
Physician Assistant
Primary
CMS NPPES uses NUCC taxonomy code 363AM0700X for provider records classified as Medical within Physician Assistant. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
taxonomy 363AM0700X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Shared NPPES address.
12 individual providers use this primary address. This does not prove employment or affiliation.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Provider record updated 2014-12-10
· Source: CMS NPPES bulk export. Check the linked CMS record for the latest source entry.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.
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