Individual provider · Type 1 NPI
Johnny Staton, LSA
Surgical Physician Assistant · Mesquite, TX
NPI number
1922530591
Active
Practice location
1208 Paintbrush St
Mesquite, TX 75149
Fax (214) 764-0880
Mailing address
PO Box 938
Rowlett, TX 75030-0938
Other practice locations
- 445 E FM 1382, 3-195, Cedar Hill, TX 75104-6047 · (214) 980-9437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | SA00687 (TX) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
Other surgical physician assistant providers in Mesquite
About NPI 1922530591
Johnny Staton, LSA's National Provider Identifier is 1922530591, issued on Apr 1, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mesquite, TX. The record was last updated on Apr 25, 2019.