Individual
JIMMIE JOHNSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
501 MARSHALL DR, BELTON, TX 76513-3779
(254) 338-5473
(254) 613-4064
Mailing address
501 MARSHALL DR, BELTON, TX 76513-3779
(254) 338-5473
(254) 613-4064
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
684289
TX
Other
Enumeration date
04/06/2006
Last updated
11/11/2008
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