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Individual
MRS. MEGAN WHITNEY JOHNSON
Active
Individual
MRS. MEGAN WHITNEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07200
TX
363AM0700X
Medical Physician Assistant
PA07200
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659660439
TRICARE
TX
05
—
313985901
—
TX
01
—
889N41
BCBS
TX
01
—
PA07200
LISCENSE
TX
Enumeration date
04/01/2011
Last updated
06/24/2013
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