Individual
BARBARA S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
120 RIVER OAKS DR STE 140, SOUTHLAKE, TX 76092-6845
(817) 778-8884
(817) 385-6540
Mailing address
120 RIVER OAKS DR STE 140, SOUTHLAKE, TX 76092-6845
(817) 778-8884
(817) 385-6540
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
423882
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U87Z
BCBSTX GRP PIN
TX
01
—
124218
SUPERIOR PIN
TX
01
—
1750369203
GRP NPI NUMBER
—
05
—
214256401
—
TX
01
—
89N478
BCBSTX IND PIN
TX
01
—
9079983
PHCS PIN
TX
Enumeration date
12/18/2006
Last updated
10/05/2015
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