Organization
SHANNON A. JOHNSON M.D., PA
Active
Organization
SHANNON A. JOHNSON M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON ANDREA JOHNSON M.D. (PRESIDENT)
(817) 283-7400
Entity
Organization
Contact information
Practice address
3901 AIRPORT FWY, SUITE 320, BEDFORD, TX 76021-6117
(817) 283-7400
(817) 283-7406
Mailing address
PO BOX 1250, ROWLETT, TX 75030-1250
(817) 283-7400
(817) 283-7406
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
K7174
TX
Other
Enumeration date
11/14/2009
Last updated
02/01/2010
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