MEDICARE: TAMEKA L 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
1	172V00000X	Community Health Worker
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1811879513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMEKA L JOHNSON

Provider Business Mailing Address
First Line	:	3927 ALAMAR COTTAGE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78259-1618
Country	:	US
Telephone Number	:	726-248-2455
Fax Number	:

Provider Business Practice Location Address
First Line	:	3927 ALAMAR COTTAGE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78259-1618
Country	:	US
Telephone Number	:	726-248-2455
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2025
Last Update Date	:	04/14/2026

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Directions to “ TAMEKA L JOHNSON ” Practice Location

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