Individual
ASHLEY MYRIAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6913 CAMP BOWIE BLVD STE 171, FORT WORTH, TX 76116-7165
(817) 433-5000
Mailing address
PO BOX 12447, FORT WORTH, TX 76110-8447
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M1280
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188423101
—
TX
Enumeration date
08/19/2006
Last updated
10/31/2024
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