Individual
MR. DARREL LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
30310 ALDINE WESTFIELD RD, SPRING, TX 77386-3355
(281) 923-4816
Mailing address
30310 ALDINE WESTFIELD RD, SPRING, TX 77386-3355
(281) 923-4816
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
107962
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107962
MASSAGE
TX
Enumeration date
08/24/2010
Last updated
08/24/2010
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