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NPI Code Detail

MEDICARE: CLAIRE JOHNSON

MEDICARE: CLAIRE JOHNSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1710795158
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE JOHNSON
Provider Business Mailing Address
First Line : 2323 N CENTRAL EXPY
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-2712
Country : US
Telephone Number : 214-453-4533
Fax Number :
Provider Business Practice Location Address
First Line : 2323 N CENTRAL EXPY
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-2712
Country : US
Telephone Number : 214-453-4533
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2024
Last Update Date : 12/11/2025

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Directions to “ CLAIRE JOHNSON ” Practice Location

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