Individual
COURTNEY ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6100 LAKE WORTH BLVD, FORT WORTH, TX 76135-3703
(817) 237-3321
Mailing address
7410 SHARON LEE DR, ARLINGTON, TX 76001-7050
(817) 372-2844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12470
TX
Other
Enumeration date
08/03/2018
Last updated
10/24/2024
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