| NPI | 1811535271 |
|---|---|
| Other Name | TERRENCE JOHNSON SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | TERRENCE BRANDON JOHNSON President 469-235-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2020-06-29 |