MELISSA ANN JOHNSON, PLLC
Osteopathic Medicine at Polo Trl, Colleyville, TX

License number
Texas M4217
Category
Osteopathic Medicine
Type
Emergency Medicine
Owner
Name: DR. MELISSA ANN JOHNSON
Title: PHYSCIAN
Phone: (817) 739-5391
Address
Address
212 Polo Trl, Colleyville, TX 76034
National Provider ID: 1083026132
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MELISSA ANN JOHNSON, PLLC

212 Polo Trl, Colleyville, TX 76034

Registration:
Feb 21, 2014
State ID:
0801938572
Agent:
Melissa Johnson,212 Polo Trl, Colleyville, TX 76034 (Physical)
TIN:
32053277615

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