Individual
COURTENAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
36000 DARNALL LOOP, FORT HOOD, TX 76544-5095
(254) 285-6270
(254) 287-7146
Mailing address
36000 DARNALL LOOP, FORT HOOD, TX 76544-5095
(254) 285-6270
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102203449
VA
Other
Enumeration date
11/05/2009
Last updated
07/21/2022
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