Individual
CARLDALE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 UNIVERSITY BLVD, APT. 224, ROUND ROCK, TX 78665-8005
(512) 659-1519
Mailing address
1700 UNIVERSITY BLVD, APT. 224, ROUND ROCK, TX 78665-8005
(512) 659-1519
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
21265190
TX
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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