Sammy B Johnson, CRNA | |
3323 S Loop 256, Palestine, TX 75801-6977 | |
(936) 544-4255 | |
(936) 544-4409 |
Full Name | Sammy B Johnson |
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Gender | Male |
Speciality | Registered Nurse |
Location | 3323 S Loop 256, Palestine, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447232095 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 238328 (Texas) | Primary |
Entity Name | South Limestone Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861487779 PECOS PAC ID: 9032103700 Enrollment ID: O20040414000629 |
Mailing Address | Practice Location Address |
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Sammy B Johnson, CRNA 17133 Fm 832, Buffalo, TX 75831-6211 Ph: (936) 544-4255 | Sammy B Johnson, CRNA 3323 S Loop 256, Palestine, TX 75801-6977 Ph: (936) 544-4255 |
Bridget Rosa Holley, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 210 W Oak St # 170, Palestine, TX 75801 Phone: 903-373-2923 | |
Heather Elizabeth Boone, RN, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 306 2nd St, Palestine, TX 75803 Phone: 903-922-8299 | |
Brianna Fitzgerald, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-731-5128 | |
Tiffany Elliott, RN, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1012 Highland Dr, Palestine, TX 75801 Phone: 214-228-3204 |