Individual
DR. GAIL ELAINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
616 W RUSSELL PL, SAN ANTONIO, TX 78212-3658
(800) 257-8715
(800) 819-1655
Mailing address
2 POST OAK TRL, GREENVILLE, TX 75402-3441
(214) 542-9749
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32116
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156501201
—
TX
05
—
156501202
—
TX
01
—
86969A
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/12/2006
Last updated
07/09/2007
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