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Organization
TRI-COUNTY PEDIATRICS PC
Active
Organization
TRI-COUNTY PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN S JOHNSON MNM, CPNP, FNP, BC (PRESIDENT)
(903) 388-5700
Entity
Organization
Contact information
Practice address
703 E MAIN ST, MEXIA, TX 76667-3349
(903) 388-5700
Mailing address
703 E MAIN ST, MEXIA, TX 76667-3349
(903) 388-5700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
664213
TX
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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