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Individual

MR. BRIAN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSNA, CRNA

Contact information

Practice address
3601 4TH ST, LUBBOCK, TX 79430-0002
(806) 743-2981
Mailing address
3601 4TH ST, LUBBOCK, TX 79430-0002

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
764530
TX

Other

Enumeration date
01/15/2014
Last updated
08/08/2024
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