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Individual

PROF. DAVID M JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
12222 N CENTRAL EXPY, SUITE 400, DALLAS, TX 75243-3755
(817) 516-8811
(817) 516-8444
Mailing address
12222 N CENTRAL EXPY, SUITE 400, DALLAS, TX 75243-3755
(817) 516-8811

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
604291
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00416W
TX
05
164378504
TX
01
85780U
BCBS # MESQUITE ANES
TX
01
89581U
BCBS
TX
01
P00749817
RAILROAD
TX
Enumeration date
07/25/2006
Last updated
06/07/2012
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