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Organization

AGING SUCCESSFULLY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JODY JOHNSON NP (OWNER)
(972) 384-0694
Entity
Organization

Contact information

Practice address
115 SPRING RIDGE DR, MURPHY, TX 75094-4267
(972) 384-0694
Mailing address
115 SPRING RIDGE DR, MURPHY, TX 75094-4267
(972) 384-0694

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary

Other

Enumeration date
05/18/2011
Last updated
02/07/2012
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Product
  • Claims
  • Eligibility checks
  • EDI platform