Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD48266 | TN |
Y | 207X00000X | Orthopaedic Surgeon | P9226 | TX |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | MD48266 | TN |
NPI | 1699918342 |
---|---|
Provider Name | Megan Elizabeth Johnson |
First Address | Dallas, TX 75219-3924 |
Second Address | Dallas, TX 75219-3924 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2009 |
Last Update Date | 16/12/2020 |