RICHARD LEE JOHNSON

DALLAS, TX
NPI1104848555
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA00053)
Enumeration Date2006-07-24
Last Update Date2007-07-08
Business Address
-- RICHARD LEE JOHNSON PAC
3500 GASTON AVE
DALLAS, TX 75246-2017
Phone number: 214-820-2505
Mailing Address
-- RICHARD LEE JOHNSON PAC
PO BOX 41633
PHILADELPHIA, PA 19101-1633
Phone number: 800-355-0808