Individual
JERRY N JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1502 E BELT LINE RD, CARROLLTON, TX 75006-6307
(972) 466-2273
(972) 245-0269
Mailing address
1502 E BELT LINE RD, CARROLLTON, TX 75006-6307
(972) 466-2273
(972) 245-0269
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4344
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
605672
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/13/2006
Last updated
07/08/2007
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