Individual
HANAN GENET JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5200 HARRY HINESBLVD, DALLAS, TX 75235
(214) 590-8000
Mailing address
3151 SKYLANE DR. #106, CARROLLTON, TX 75006-7255
(469) 855-2089
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP130227
TX
Other
Enumeration date
03/18/2016
Last updated
05/23/2018
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