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Individual

WEILAN ZUO JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
700 SAN GABRIEL VILLAGE BLVD STE 105, GEORGETOWN, TX 78626-5594
(512) 819-9910
(512) 819-9970
Mailing address
700 SAN GABRIEL VILLAGE BLVD STE 105, GEORGETOWN, TX 78626-5594
(512) 819-9910
(512) 819-9970

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
P8919
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8124NN
BCBS PV#
TX
Enumeration date
06/23/2011
Last updated
07/21/2022
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