Individual
DR. SHANNON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 AIRPORT FWY, SUITE 320, BEDFORD, TX 76021-6117
(817) 283-7400
(817) 283-7406
Mailing address
PO BOX 1250, ROWLETT, TX 75030-1250
(817) 283-7400
(817) 283-7406
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K7174
TX
Other
Enumeration date
09/20/2006
Last updated
02/01/2010
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