Individual
TINA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1776 TEASLEY LN STE 107, DENTON, TX 76205-7710
(940) 222-7969
Mailing address
1776 TEASLEY LN STE 107, DENTON, TX 76205-7710
(940) 222-7969
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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