Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 3129TG | TX |
NPI | 1174674626 |
---|---|
Provider Name | Dr. Murray H Johnson |
First Address | Dallas, TX 75252-5470 |
Second Address | Dallas, TX 75252-5470 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2007 |
Last Update Date | 08/07/2007 |