Most Relevant Information
Provider Data
| NPI Number: | 1003278003 |
| Provider Name: | TREVOR A JOHNSON MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | R4856 |
Most Important Dates
| Enumeration Date: | 03/28/2016 |
| Last Updated: | 06/11/2019 |
Provider Practice Location
1500 S MAIN ST
FT WORTH
TX
76104
Practice Location Phone/Fax
| Phone: | 8177023431 |
| Fax: |
Provider Mailing Location
1500 S MAIN ST
FT WORTH
TX
761044917
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |