Provider Information for 1194933960
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
CARLETTA KAY JOHNSON L.P.C.
Sex: Female
NPI: 1194933960
Last Updated: 2024-01-16
Certification Date: 2024-01-16
Certification Date: 2024-01-16
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1194933960 | ||||||||
| Enumeration Date | 2007-05-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 143 BISCAYNE DR CEDAR HILL, TX 75104-1363 United States Phone: 214-564-6295 | Fax: | ||||||||
| Primary Practice Address | 143 BISCAYNE DR CEDAR HILL, TX 75104-1363 United States Phone: 214-564-6295 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|