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Individual

DR. ESSENCE N. JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
9202 ELAM RD, SUITE 240, DALLAS, TX 75217-4151
(214) 266-1606
Mailing address
9202 ELAM RD, SUITE 240, DALLAS, TX 75217-4151
(214) 266-1606

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7700TG
TX
152W00000X
Optometrist
OPT002592
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2868986
TX
Enumeration date
05/01/2011
Last updated
11/18/2016
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