Individual
AUDREY ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4300 W UNIVERSITY DR STE 10, PROSPER, TX 75078-9806
(682) 303-8050
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P2877
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2009
Last updated
04/09/2021
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