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Individual

DR. TRAVIS HAMPTON JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-0111
Mailing address
1419 FAIRWOOD RD, AUSTIN, TX 78722-1025
(512) 788-1296

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
T5138
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/18/2018
Last updated
04/03/2023
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