Individual
JENNIFER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4499 MEDICAL DR STE 289, SAN ANTONIO, TX 78229-3712
(210) 614-3264
Mailing address
4499 MEDICAL DR STE 289, SAN ANTONIO, TX 78229-3712
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
OS016443
PA
Other
Enumeration date
07/15/2008
Last updated
07/10/2024
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