Individual
MEREDITH A JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101238944
VA
208000000X
Pediatrics Physician
Primary
M6680
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187034701
—
TX
01
—
8W4547
BLUE CROSS
TX
Enumeration date
07/05/2006
Last updated
09/14/2020
Update your record
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