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Shateria Johnson
NPI 1649932492 · on the registry since 2021 · sole proprietor
Practice
- Address
- 850 Lake Carolyn Pkwy Apt 3146
Irving, TX 75039 - Phone
- (469) 864-9931
- Organisation at this address
- Knew Tour Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 332BC3200X
332BC3200X
- Also registered as
- 332B00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-08
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