Individual
CHAD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 W PARMER LN STE 175, AUSTIN, TX 78727-4109
(855) 204-2502
Mailing address
4201 W PARMER LN STE 175, AUSTIN, TX 78727-4109
(855) 204-2502
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1016423
TX
Other
Enumeration date
11/10/2020
Last updated
02/11/2024
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