Individual provider · Type 1 NPI

Sam Johnson

Specialist · Dallas, TX

NPI number 1639207467 Active

Practice location

12250 Inwood Rd, Suite 7
Dallas, TX 75244-8033

Call (972) 701-9700 Map

Mailing address

101 S Brookside Dr Apt 2207
Dallas, TX 75214-4585

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1639207467

Sam Johnson's National Provider Identifier is 1639207467, issued on Mar 1, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.