Individual
CAROLINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2601 THORNTON LN, TEMPLE, TX 76502-1808
(254) 724-6622
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42099
AZ
207RN0300X
Nephrology Physician
42099
AZ
207RN0300X
Nephrology Physician
Primary
R4403
TX
208000000X
Pediatrics Physician
42099
AZ
Other
Enumeration date
05/02/2007
Last updated
03/17/2018
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