Individual
LINDA L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2102 W TEEGE AVE, HARLINGEN, TX 78550-4667
(956) 412-3337
Mailing address
205 E MARTINEZ ST, PHARR, TX 78577-1844
(956) 605-0788
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
128975
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790847531
—
TX
Enumeration date
07/26/2018
Last updated
04/09/2020
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