Individual
SHELBY LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 N BECKLEY AVE STE 363, DALLAS, TX 75203-1558
(214) 438-5188
Mailing address
1411 N BECKLEY AVE STE 363, DALLAS, TX 75203-1558
(214) 438-5188
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16259
TX
Other
Enumeration date
11/29/2022
Last updated
02/21/2023
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