Organization
DR. MELINDA JOHNSON, OD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELINDA JOHNSON O.D. (MEMBER)
(254) 772-0761
Entity
Organization
Contact information
Practice address
6001 W WACO DR, SUITE 610, WACO, TX 76710-6306
(254) 772-0761
(254) 772-7590
Mailing address
6001 W WACO DR, SUITE 610, WACO, TX 76710-6306
(254) 772-0761
(254) 772-7590
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7356T
TX
Other
Enumeration date
11/08/2009
Last updated
11/08/2009
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