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NPI Code Detail

MEDICARE: MRS. TIA A JOHNSON

MEDICARE: MRS. TIA A 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
11041C0700XClinical Social Worker110495TX

General Provider Information

NPI Number : 1427459882
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TIA A JOHNSON
Provider Business Mailing Address
First Line : 1828 BIG THUNDER
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78245-4753
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 COVEMEADOW DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76012-5407
Country : US
Telephone Number : 972-559-9227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2014
Last Update Date : 06/14/2023

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Directions to “ MRS. TIA A JOHNSON ” Practice Location

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