Individual
DIANE KAREN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
955 LOWES LN, MT VERNON, TX 75457-9601
(903) 537-7558
Mailing address
955 LOWES LN, MT VERNON, TX 75457-9601
(903) 537-7558
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01150
TX
Other
Enumeration date
05/30/2007
Last updated
03/12/2014
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