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Individual

ROSIE L. JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHCNP

Contact information

Practice address
4201 BROOK SPRING DR, OAKWEST WOMEN'S HEALTH CENTER, DALLAS, TX 75224-4938
(214) 266-1400
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
243922
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
175018402
TX
05
175018403
TX
05
175018404
TX
05
175018405
TX
05
175018406
TX
05
175018407
TX
05
175018408
TX
05
175018409
TX
05
175018410
TX
05
175018411
TX
01
8Y1866
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/02/2007
Last updated
03/27/2009
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