P Praxis·MD
● Active Type 1 · Individual

MR. Roel Mario Johnson, APT

Technician, Other·Tyler, TX· NPI 1912290099 · Enumerated 2011 · 15 years on NPI
Johnson is 1 of 13 technician, other providers in Tyler and 1 of 804 in Texas.
NPI age
15 years
Enumerated 2011-05-23
Primary specialty
Technician, Other
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-05-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 804 active technician, other providers in Texas.

NPI age
15 years
↑ 6 yr above median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 9% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-05Enumerated in NPPES
2011 2026

Where they practice

Practice location
805 N Glenwood Blvd
Tyler, TX 757025033
📞 9035090800fax 9035090803
Mailing address
805 N Glenwood Blvd
Tyler, TX 757025033
📞 9035090800fax 9035090803

Specialties

  • Technician, Other Primary
    A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed...
    TX license #00965268 taxonomy 247200000X
  • Rehabilitation Counselor
    Definition to come...
    TX license #00965268 taxonomy 225CA2400X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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