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Individual

ANDREA S. JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-3838
(214) 645-3839
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 648-3280
(214) 648-7611

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
P3359
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/26/2008
Last updated
07/16/2012
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