Individual
MR. TERRY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1149 AMBLER AVE, ABILENE, TX 79601-2309
(325) 676-7111
Mailing address
1149 AMBLER AVE, ABILENE, TX 79601-2309
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E4437
TX
Other
Enumeration date
11/15/2005
Last updated
07/14/2007
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