Individual
CHRISTOPHER HARRELL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3001 BUDDIE ST, TYLER, TX 75701-0605
(903) 245-8952
Mailing address
3001 BUDDIE ST, TYLER, TX 75701-0605
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
327290
TX
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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