WOODY JOHNSON

LUFKIN, TX
NPI1417354176
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: TX  1378)
Additional Taxonomies222Z00000X Orthotist
(Licence: TX  1378)
Enumeration Date2014-11-24
Last Update Date2014-11-24
Business Address
-- WOODY JOHNSON CPO
521 GASLIGHT BLVD
LUFKIN, TX 75904-3127
Phone number: 936-634-3298
Mailing Address
-- WOODY JOHNSON CPO
521 GASLIGHT BLVD
LUFKIN, TX 75904-3127
Phone number: