MELVIN JOHNSON

FORT WORTH, TX
NPI1770974727
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Additional Taxonomies246ZC0007X Specialist/Technologist, Other, Surgical Assistant
Enumeration Date2015-02-12
Last Update Date2018-11-14
Business Address
MELVIN JOHNSON
1016 GRAND NATIONAL BLVD
FORT WORTH, TX 76179-2336
Phone number: 817-657-7640
Mailing Address
MELVIN JOHNSON
1016 GRAND NATIONAL BLVD
FORT WORTH, TX 76179-2336
Phone number: 817-657-7640