Dr Mallory Jayne Johnson, OD | |
590 Medical Center Rd, Bldg 36065, Fort Cavazos, TX 76544 | |
(254) 288-8000 | |
Not Available |
Full Name | Dr Mallory Jayne Johnson |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 590 Medical Center Rd, Fort Cavazos, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306677059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 6490 (Florida) | Primary |
Mailing Address | Practice Location Address |
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Dr Mallory Jayne Johnson, OD 2308 Los Arboles Ln, Waco, TX 76711-1188 Ph: (254) 366-5526 | Dr Mallory Jayne Johnson, OD 590 Medical Center Rd, Bldg 36065, Fort Cavazos, TX 76544 Ph: (254) 288-8000 |
Dawn Deann Hallums, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 53336-1 Drum Song Trail, Fort Cavazos, TX 76544 Phone: 727-365-3399 | |
Michael Goering, OD Optometrist Medicare: Medicare Enrolled Practice Location: 36029 58th Street, Fort Cavazos, TX 76544 Phone: 254-287-7281 | |
Valori Waggoner, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 590 Medical Center Road, Fort Cavazos, TX 76544 Phone: 254-288-2183 |