Individual
DR. AMY AMEND JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5939 HARRY HINES BLVD FLOOR 8, SUITE 124, DALLAS, TX 75390-8889
(214) 645-8650
(214) 645-8669
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
(214) 648-9012
(214) 648-2087
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
M5023
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00816306
RAILROAD
TX
Enumeration date
06/28/2007
Last updated
03/22/2020
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