KIMBERLY D JOHNSON, DO, PA
Osteopathic Medicine in Dallas, TX

License number
Texas L3098
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. KIMBERLY D JOHNSON D.O.
Title: SOLE DIRECTOR
Phone: (972) 948-3518
Address
Address
1411 N Beckley Ave Pavilion Iii STE. 352, Dallas, TX 75203
National Provider ID: 1023281177
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KIMBERLY D. JOHNSON, D.O., PA

Dallas, TX

Status:
Inactive
Industry:
Business Services at Non-Commercial Site, Osteopathic Physician's Office
Doing business as:
Housecall Doctors<br>Kimberly D. Johnson, D.O., PA
Registration:
Jun 23, 2005
Addresses:
2813 Vacherie Ln, Dallas, TX 75227 (Mailing)
2821 Vacherie Ln, Dallas, TX 75227
State ID:
0800509937
Business type:
Professional Association
President, Director, Member:
Kimberly D. Johnson President, Director, Member, inactive
TIN:
32035380834

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