Johnson, Brenda L

Johnson, Brenda L is an individual health care provider with primary practice located at 801 W Interstate 20 Ste 132 , Arlington TX 76017-5851. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Johnson, Brenda L can be contacted via phone (682) 274-8181.

Contact Information

Primary practice address
801 W Interstate 20 Ste 132 Arlington TX 76017-5851
Fax: (817) 764-0175
Website:

Health care specialties

Profile Details

NPI number 1538319587
LBN Legal business name Johnson, Brenda L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2008
Last updated Oct 12th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538319587 NPPES
Texas Other 8100NR BCBS
Texas MEDICAID 297908003 BCBS
Texas MEDICAID 297908005 BCBS

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