Individual
BRITTNY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3951 LOVINGOOD DR, DALLAS, TX 75241-4309
(903) 952-2127
Mailing address
2702 EAST FIFTH STREET PMB 744, TYLER, TX 75701
(903) 952-2127
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
50022608
TX
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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