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Individual

MR. RON JOHNSON SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
6750 HILLCREST PLAZA DR, SUITE 221, DALLAS, TX 75230-1400
(972) 385-7447
Mailing address
PO BOX 143174, IRVING, TX 75014-3174
(214) 808-4863

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
72437
TX

Other

Enumeration date
09/08/2015
Last updated
09/08/2015
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