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Individual

MRS. MARGIE A JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CPNP

Contact information

Practice address
5430 FREDERICKSBURG RD, SUITE 508, SAN ANTONIO, TX 78229-3539
(210) 541-8281
(210) 541-9123
Mailing address
5430 FREDERICKSBURG RD, SUITE 508, SAN ANTONIO, TX 78229-3539
(210) 541-8281
(210) 541-9123

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP120748
TX
364SP0200X
Pediatric Clinical Nurse Specialist
241949
TX

Other

Enumeration date
11/02/2012
Last updated
12/17/2020
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