Individual
HAYWARD JOHNSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1720 COMMERCE ST STE B, GARLAND, TX 75040-6710
(972) 205-3727
(972) 205-3444
Mailing address
3029 TIMBER RIDGE LN, MESQUITE, TX 75181-4040
(214) 213-3241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01606
TX
Other
Enumeration date
07/24/2006
Last updated
03/18/2024
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