Individual
DR. JIMMY DALE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2301 S HAMPTON RD, STE 900, DALLAS, TX 75224
(214) 330-9201
(214) 339-9577
Mailing address
2301 S HAMPTON RD, STE 900, DALLAS, TX 75224
(214) 330-9201
(214) 339-9577
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D0477
TX
Other
Enumeration date
03/30/2006
Last updated
10/12/2007
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