Individual
DR. CECILY MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3920 W WHEATLAND RD, SUITE 108, DALLAS, TX 75237-3401
(214) 948-7779
(904) 244-3658
Mailing address
1215 N BISHOP AVE, DALLAS, TX 75208-4118
(214) 675-0906
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N3103
TX
207V00000X
Obstetrics & Gynecology Physician
TRN10521
FL
Other
Enumeration date
12/19/2006
Last updated
05/22/2013
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