MEDICARE: SHELBY LYNN 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	363AM0700X	Medical Physician Assistant	PA16259	TX

General Provider Information

NPI Number	:	1902516099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELBY LYNN JOHNSON

Provider Business Mailing Address
First Line	:	1411 N BECKLEY AVE STE 363
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75203-1558
Country	:	US
Telephone Number	:	214-438-5188
Fax Number	:

Provider Business Practice Location Address
First Line	:	1411 N BECKLEY AVE STE 363
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75203-1558
Country	:	US
Telephone Number	:	214-438-5188
Fax Number	:

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

Provider Enumeration Date	:	11/29/2022
Last Update Date	:	02/21/2023

Similar Medicare Providers

1104625383 — CIERRA CHARRSE BLACK PA-C
Practice Location Address:

1411 N BECKLEY AVE STE 363
DALLAS, TX
75203-1558

Practice Phone: 214-305-8667
Practice Fax:

1306792056 — SYTONYA MELANO JORDAN
Practice Location Address:

2515 PERRYTON DR
DALLAS, TX
75233-1558

Practice Phone: 817-317-1863
Practice Fax:

1922790575 — SENIORDENT DENTAL CARE OF TEXAS PC
Practice Location Address:

2901 INDIANA BLVD APT 225
DALLAS, TX
75226-1558

Practice Phone: 888-970-3400
Practice Fax: 888-456-3812

1659226868 — ZILDJIAN BROOKS
Practice Location Address:

1441 N BECKLEY AVE
DALLAS, TX
75203-1201

Practice Phone: 214-947-8181
Practice Fax:

1861348443 — MR. STEVEN JACOB HOPKINSON APRN
Practice Location Address:

1441 N BECKLEY AVE STE 152
DALLAS, TX
75203-1201

Practice Phone: 214-948-2076
Practice Fax:

1972500395 — DR. ALAN ROACH RPH, DPH
Practice Location Address:

1441 N BECKLEY AVE , METHODIST HOSPITAL OF DALLAS
DALLAS, TX
75203-1201

Practice Phone: 214-947-2400
Practice Fax: 214-947-2501

Directions to “ SHELBY LYNN JOHNSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.