SearchTexas2355S0801X

Etoy Johnson

NPI 1235873134 · on the registry since 2022

Practice

Address
565 S Major Dr
Beaumont, TX 77707
Phone
(409) 617-7103

Registry record

Primary taxonomy
2355S0801X
2355S0801X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-04-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas