Individual
JUSTIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-2691
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1126212
TX
367500000X
Certified Registered Nurse Anesthetist
31226
TN
367500000X
Certified Registered Nurse Anesthetist
892739
TX
Other
Enumeration date
10/20/2021
Last updated
01/04/2024
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