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NPI Code Detail

MEDICARE: ESHALY B JOHNSON

MEDICARE: ESHALY B 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
1101YP2500XProfessional Counselor71379TX

General Provider Information

NPI Number : 1295112134
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESHALY B JOHNSON
Provider Business Mailing Address
First Line : 2310 N BELT LINE RD APT 435
Second Line :
City : MESQUITE
State : TX
Zip : 75150-5891
Country : US
Telephone Number : 214-743-6146
Fax Number :
Provider Business Practice Location Address
First Line : 4645 SAMUELL BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75228-6826
Country : US
Telephone Number : 214-275-7393
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2015
Last Update Date : 12/08/2025

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Directions to “ ESHALY B JOHNSON ” Practice Location

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