Individual
MRS. GAIL W JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
1756 JEANNIE LN, HURST, TX 76054-3741
(817) 268-3406
Mailing address
1756 JEANNIE LN, HURST, TX 76054-3741
(817) 268-3406
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
96054
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96054
LICENSE
TX
Enumeration date
08/12/2006
Last updated
07/21/2022
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