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Individual

DARRELL D JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5750 BALCONES DR, SUITE 200, AUSTIN, TX 78731-4252
(512) 836-8786
(512) 836-8794
Mailing address
5750 BALCONES DR, SUITE 200, AUSTIN, TX 78731-4252
(512) 836-8786
(512) 836-8794

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50241
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
80733A
BCBS - AENTC
TX
01
80734A
BCBS - HCAENTC
TX
Enumeration date
04/21/2011
Last updated
06/06/2011
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