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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY MARVIN JOHNSON,MD,PA,DBA

Active Organization

MARY MARVIN JOHNSON,MD,PA,DBA is a Pediatrics organization located in AUSTIN, Texas. NPI 1356443808 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · AUSTIN, TX

Registration Details

NPI Number
1356443808
Provider Type
Organization
NPI Issued
Sep 4, 2006 (19.75945551113 yrs)
Last Updated
May 22, 2012
License
G2730 (TX)

Practice Information

Address
4700 SETON CENTER PKWY
#125
AUSTIN, TX, 787595295
Browse TX providers · Browse ZIP 78759
Phone
5123388500
Fax
5123388510
Primary Specialty
Pediatrics
208000000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.