Individual provider · Type 1 NPI

Marie R. Johnson, PA-C

Medical Physician Assistant · Sherman, TX

NPI number 1104142645 Active

Practice location

1810 U.s. Highway 82 W
Sherman, TX 75092-7069

Fax (903) 870-2601

Mailing address

1810 U.s. Highway 82 West
Sherman, TX 75092-7069

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00844 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1104142645

Marie R. Johnson, PA-C's National Provider Identifier is 1104142645, issued on Apr 8, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sherman, TX. The record was last updated on Apr 8, 2010.