Individual
PROF. MEGAN JOHNSON-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
8018 NEW WORLD, SAN ANTONIO, TX 78239-3517
(469) 712-4526
Mailing address
8018 NEW WORLD, SAN ANTONIO, TX 78239-3517
(469) 712-4526
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1443503
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1744P3200X
CRANIAL PROTHESIS
TX
Enumeration date
11/10/2015
Last updated
05/06/2025
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