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Individual

MARK ROBERT JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
A.U.D., CCC-A

Contact information

Practice address
19026 STONE OAK PKWY, STE 110, SAN ANTONIO, TX 78258
(210) 545-0404
(210) 614-1003
Mailing address
P.O. BOX 2679, SAN ANTONIO, TX 78299
(210) 616-0121
(210) 614-1003

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50770
TX

Other

Enumeration date
08/27/2008
Last updated
08/27/2008
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