Organization
ALIVEDRIPCENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY R. JOHNSON MD (MANAGING MEMBER)
(214) 310-8206
Entity
Organization
Contact information
Practice address
507 LONGFELLOW LN, FAIRVIEW, TX 75069-0155
(214) 310-8206
Mailing address
P.O. BOX 119-154, 2221 JUSTIN ROAD, FLOWER MOUND, TX 75028-4848
(214) 310-8206
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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