SearchTexas176B00000X

Bethany Johnson, CPM, LM

NPI 1356621569 · on the registry since 2011 · sole proprietor

Practice

Address
1210 Clark Springs Dr
Keller, TX 76248
Phone
(618) 317-8088
Fax
(817) 562-2826

Registry record

Primary taxonomy
176B00000X
176B00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-08-18

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