Individual
DR. MARY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4700 SETON CENTER PKWY, 125, AUSTIN, TX 78759-5295
(512) 338-8500
(512) 338-8510
Mailing address
4700 SETON CENTER PKWY, 125, AUSTIN, TX 78759-5295
(512) 338-8500
(512) 338-8510
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
G2730
TX
Other
Enumeration date
01/26/2006
Last updated
07/08/2007
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