JACKIE RAY JOHNSON

DALLAS, TX
NPI1053320218
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  510698)
Enumeration Date2006-08-05
Last Update Date2009-11-18
Business Address
Mr. JACKIE RAY JOHNSON CRNA
8200 WALNUT HILL LN
DALLAS, TX 75231-4426
Phone number: 214-345-7175
Mailing Address
Mr. JACKIE RAY JOHNSON CRNA
3008 SHILLING RD
TEXARKANA, TX 75503-5423
Phone number: 903-792-2173
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