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Individual

ESTHER YVONNE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5520 4TH ST, LUBBOCK, TX 79416-4220
(806) 761-0475
(806) 793-0693
Mailing address
5219 CITY BANK PKWY, SUITE 135, LUBBOCK, TX 79407-3544
(806) 761-0333
(806) 722-2908

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D34605
MD
208000000X
Pediatrics Physician
Primary
N6393
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
169291400
MD
Enumeration date
08/23/2006
Last updated
08/27/2015
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