Individual
CHERYL A JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4101 JAMES CASEY #300, AUSTIN, TX 78745-1155
(512) 383-9752
(512) 383-9296
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 421-4489
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00267
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181981501
—
TX
05
—
181981502
—
TX
05
—
970025377
—
TX
Enumeration date
08/23/2006
Last updated
01/07/2011
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