Individual
HALEY NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9234 N LOOP 1604 W STE 121&123, SAN ANTONIO, TX 78249-2983
(210) 681-1121
Mailing address
9234 N LOOP 1604 W STE 121&123, SAN ANTONIO, TX 78249-2983
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41519
TX
Other
Enumeration date
02/27/2023
Last updated
12/28/2025
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