Individual
GLORIA J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7810 LOUIS PASTEUR DR, SUITE 200, SAN ANTONIO, TX 78229-3471
(210) 614-3355
(210) 614-0530
Mailing address
PO BOX 1072, SAN ANTONIO, TX 78294-1072
(210) 614-3355
(210) 614-0530
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 02773
TX
Other
Enumeration date
10/11/2006
Last updated
08/16/2011
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