Individual
MS. BEVERLY LOUISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
176 LEGACY TRCE, LA VERNIA, TX 78121-5688
(210) 887-0416
(830) 947-3763
Mailing address
176 LEGACY TRCE, LA VERNIA, TX 78121-5688
(210) 887-0416
(830) 947-3763
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2024060001
TX
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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