Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack L. Johnson Jr , MD, PA

Organization Family Medicine Physician · NPI 1912165218

Jack L. Johnson Jr , MD, PA provides Family Medicine Physician services in Lewisville, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

560 W Main St Ste 100
Lewisville, TX 75057-3629 Not confirmed with CMS for 17 years — call before visiting
Phone: (972) 436-9797
Fax: (972) 436-9790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence H5576 (TX)

Record details

NPI number1912165218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Johnson — Owner/Physician · (972) 436-9797
NPI enumeratedMay 23, 2008
Last updated in NPPESNovember 21, 2008
Mailing address560 W Main St, Suite 100, Lewisville, TX 75057-3629

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