Individual
CHRISTINE LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5161 HARRY HINES BLVD, DALLAS, TX 75390-9055
(214) 645-2080
(214) 648-9207
Mailing address
5161 HARRY HINES BLVD, DALLAS, TX 75390-9055
(214) 645-2080
(214) 648-9207
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
K0321
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047994101
—
TX
05
—
047994102
—
TX
01
—
8BR094
BCBS
TX
Enumeration date
08/05/2006
Last updated
03/31/2016
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