Individual
MR. SHAMAR JERRELL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7230 WURZBACH RD APT 306, SAN ANTONIO, TX 78240-3861
(210) 326-5636
Mailing address
7230 WURZBACH RD APT 306, SAN ANTONIO, TX 78240-3861
(210) 326-5636
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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