Individual
MS. BETHANY K JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
1210 CLARK SPRINGS DR, KELLER, TX 76248-3642
(618) 317-8088
(817) 562-2826
Mailing address
1210 CLARK SPRINGS DR, KELLER, TX 76248-3642
(618) 317-8088
(817) 562-2826
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
TX
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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