Individual
MR. MICAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RVT
Contact information
Practice address
718 LEXINGTON AVE, SAN ANTONIO, TX 78212-4768
(210) 251-2024
(210) 742-9697
Mailing address
24165 IH 10 W STE 217747, SAN ANTONIO, TX 78257-1449
(210) 251-2024
(210) 742-9697
Taxonomy
Speciality
Code
Description
License number
State
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
135818
TX
Other
Enumeration date
05/20/2020
Last updated
12/18/2021
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