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Individual

NICHOLE KAY JOHNSON

Active
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Individual

NICHOLE KAY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M6638
TX
208M00000X
Hospitalist Physician
M6638
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
199018601
TX
05
199018602
TX
01
8CZ856
BCBSTX
TX
01
8G0899
BCBS
TX
Enumeration date
05/18/2007
Last updated
08/11/2016
About Stedi
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