| Shannon A. Johnson M.d., Pa | |
|
3901 Airport Fwy Suite 320 Bedford TX 76021-6117 | |
| (817) 283-7400 | |
| (817) 283-7406 |
| Full Name | Shannon A. Johnson M.d., Pa |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3901 Airport Fwy, Bedford, Texas |
| Authorized Official Name and Position | Shannon Andrea Johnson (PRESIDENT) |
| Authorized Official Contact | 8172837400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon A. Johnson M.d., Pa Po Box 1250 Rowlett TX 75030-1250 Ph: (817) 283-7400 | Shannon A. Johnson M.d., Pa 3901 Airport Fwy Suite 320 Bedford TX 76021-6117 Ph: (817) 283-7400 |
| NPI Number | 1609103456 |
|---|---|
| Provider Enumeration Date | 11/14/2009 |
| Last Update Date | 02/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609103456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | K7174 (Texas) | Primary |
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