JOHNNY STATON

MESQUITE, TX
NPI1922530591
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: TX  SA00687)
Enumeration Date2017-04-01
Last Update Date2019-04-25
Business Address
JOHNNY STATON LSA
1208 PAINTBRUSH ST
MESQUITE, TX 75149
Phone number: 214-227-2457
Mailing Address
JOHNNY STATON LSA
PO BOX 938
ROWLETT, TX 75030-0938
Phone number: 214-227-2457
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