Individual
MARCOS SALVADOR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA, LSA
Contact information
Practice address
29523 COPPER XING, BULVERDE, TX 78163-2488
(361) 779-2443
Mailing address
29523 COPPER XING, BULVERDE, TX 78163-2488
(361) 779-2443
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA00732
TMB
TX
Enumeration date
04/21/2016
Last updated
04/20/2020
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