Individual
MICHELLE MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 COUNTY ROAD 37 APT B, TYLER, TX 75706-7052
(903) 504-6029
Mailing address
221 COUNTY ROAD 37 APT B, TYLER, TX 75706-7052
(903) 504-6029
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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