Mr. Roel Mario Johnson
Assistive Technology Practitioner
805 N Glenwood Blvd
Tyler
, Texas 75702-5033
Mr. Roel Mario Johnson
Assistive Technology Practitioner
805 N Glenwood Blvd
Tyler
, Texas 75702-5033
(903) 509-0803
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About
Features
Specialties
- Assistive Technology Practitioner
Languages spoken
- English
Location
First Address
- Mr. Roel Mario Johnson
- 805 N Glenwood Blvd
- Tyler, TX
- Zip : 75702-5033
- Fax : (903) 509-0803
- Phone : (903) 509-0800
Second Address
- Mr. Roel Mario Johnson
- 805 N Glenwood Blvd
- Tyler, TX
- Zip : 75702-5033
- Fax : (903) 509-0803
- Phone : (903) 509-0800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225CA2400X | Assistive Technology Practitioner | 00965268 | TX |
National Provider Identifier
| NPI | 1912290099 |
|---|---|
| Provider Name | Mr. Roel Mario Johnson |
| First Address | Tyler, TX 75702-5033 |
| Second Address | Tyler, TX 75702-5033 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2011 |
| Last Update Date | 23/05/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.