Search › Texas › 251B00000X
Jackie Johnson
NPI 1871130112 · on the registry since 2019 · sole proprietor
Practice
- Address
- 434 Ashlawn Dr
Midlothian, TX 76065 - Phone
- (817) 609-5474
- Fax
- (469) 672-6069
- Organisation at this address
- Mighty Men Of Valor Limited Liability Company
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 251B00000X
251B00000X
- Sex
- Male
- Record last updated
- 2019-12-05
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