Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY L. JOHNSON, MANAGER
Active Sole ProprietorCommunity Health Worker · HENDERSON, TX
Registration Details
- NPI Number
- 1255635470
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 3, 2011 (15.340861766718 yrs)
- Last Updated
- Jan 3, 2011
- License
-
131028 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3735 HWY 64WHENDERSON, TX, 756530366Browse TX providers · Browse ZIP 75653
- Phone
- 9036573548
- Primary Specialty
-
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.