Johnson, Maria Suzanne
Johnson, Maria Suzanne is an individual health care provider with primary practice located at 333 N Santa Rosa St , San Antonio TX 78207-3108. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Johnson, Maria Suzanne can be contacted via phone (210) 704-2190.Contact Information
Primary practice address
333 N Santa Rosa St
San Antonio TX 78207-3108
Phone: (210) 704-2190
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2004009983 | Missouri |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | N0774 | Texas |
Profile Details
NPI number | 1144270786 |
---|---|
LBN Legal business name | Johnson, Maria Suzanne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 12th, 2006 |
Last updated | Sep 19th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144270786 | NPPES |
Missouri | MEDICAID | 209128602 |
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