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Individual

DANIEL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4502 MEDICAL DR FL 2, SAN ANTONIO, TX 78229-4402
(210) 257-1400
Mailing address
UTHSCSA, UTHSCSA, DEPT. OF OPHTHALMOLOGY, 7703 FLOYD CURL DRIVE, RM 4.516MCD, SAN ANTONIO, TX 78229

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
L4988
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154761401
TX
Enumeration date
08/24/2006
Last updated
05/06/2009
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