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NPI 1912165218
● Active Type 2 · Organization
Jack L. Johnson Jr., M.d., P.A.
Family Medicine · Lewisville, TX · NPI 1912165218
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Enumerated 2008 · 18 years on NPI
Jack L. Johnson Jr., M.d., P.A. is 1 of 15966 family medicine organizations in Texas.
NPI age
18 years
Enumerated 2008-05-23
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
Owner/physician
Last NPPES update
2008-11-21
Source: monthly bulk 2026-05
How this organization compares
Across 15966 active family medicine providers in Texas.
NPI age
18 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
NPI lifetime · 2008 → 2026
2008-05 Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
560 W Main St, Suite 100
Lewisville, TX 750573629
📞 9724369797 fax 9724369790
Mailing address
560 W Main St, Suite 100
Lewisville, TX 750573629
📞 9724369797 fax 9724369790
Authorized official
Jack L. Johnson, M.D.
Owner/physician
📞 9724369797
Individual providers at this organization
2 individual providers on file at this primary practice address.
Jack Johnson , M.D.
Family Medicine
NPI 1801859996
Tae Lee , M.D.
Psychiatry & Neurology
NPI 1235333402
Specialties
Family Medicine
Primary
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
TX license #H5576 taxonomy 207Q00000X
Identifiers
Type Value Notes
01 (TX)
0047LP
BCBS
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
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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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
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.