Individual
ELWAINE KENDALL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1402 N CORINTH ST, SUITE 212B, CORINTH, TX 76208-5445
(940) 489-1735
Mailing address
1402 N CORINTH ST, SUITE 212B, CORINTH, TX 76208-5445
(940) 489-1735
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
801870304
TX
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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