Individual provider · Type 1 NPI

Ivey Johnson

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1093560666 Active

Practice location

5787 S Hampton Rd
Dallas, TX 75232-2255

Call (832) 567-7909 Map

Mailing address

6334 Barton Hollow Ln
Katy, TX 77449-7582

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093560666

Ivey Johnson's National Provider Identifier is 1093560666, issued on Apr 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Apr 18, 2024.