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NPI Code Detail

MEDICARE: AUDREY MORGAN JOHNSON

MEDICARE: AUDREY MORGAN 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
1237600000XAudiologist-Hearing Aid Fitter81769TX

General Provider Information

NPI Number : 1184510364
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUDREY MORGAN JOHNSON
Provider Business Mailing Address
First Line : 3605 FENTON AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-3003
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5701 BRYANT IRVIN RD STE 202
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4026
Country : US
Telephone Number : 817-210-4759
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2025
Last Update Date : 01/15/2026

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Directions to “ AUDREY MORGAN JOHNSON ” Practice Location

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