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

Johnny Staton, LSA

Individual provider Surgical Physician Assistant · NPI 1922530591

Johnny Staton, LSA is a Surgical Physician Assistant in Mesquite, Texas. Practices as a sole proprietor and works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2017

Practice location Address checks out

1208 Paintbrush St
Mesquite, TX 75149
Phone: (214) 227-2457
Fax: (214) 764-0880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 445 E Fm 1382, Cedar Hill, TX 75104-6047 — (214) 980-9437

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence SA00687 (TX)

Record details

NPI number1922530591
Entity typeIndividual (Type 1)
GenderMale
Credentials LSA
Sole proprietorYes
NPI enumeratedApril 1, 2017
Last updated in NPPESApril 25, 2019

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