Individual
BRANDON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 N ERVAY ST APT 2806, DALLAS, TX 75201-3914
(817) 760-6388
Mailing address
350 N ERVAY ST APT 2806, MSB 1.134, DALLAS, TX 75201-3914
(817) 760-6388
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
Q0771
TX
Other
Enumeration date
08/27/2012
Last updated
01/28/2016
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