Individual
ALEXA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4492
(210) 358-4000
Mailing address
7714 LOUIS PASTEUR DR APT 1337, SAN ANTONIO, TX 78229-3377
(918) 814-0747
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP10078644
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BP10078644
TX
Other
Enumeration date
04/12/2022
Last updated
04/25/2022
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