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Organization

MARY MARVIN JOHNSON,MD,PA,DBA

Active
Other names
Northwest Pediatrics and Adolescents
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY JOHNSON M.D. (M.D.,P.A.,PRESIDENT)
(512) 338-8500
Entity
Organization

Contact information

Practice address
4700 SETON CENTER PKWY, #125, AUSTIN, TX 78759-5295
(512) 338-8500
(512) 338-8510
Mailing address
4700 SETON CENTER PKWY, #125, AUSTIN, TX 78759-5295
(512) 338-8500
(512) 338-8510

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G2730
TX

Other

Enumeration date
09/04/2006
Last updated
05/22/2012
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