PEGGY JOHNSON DO PA NPI 1497824767

NPI Information

PEGGY JOHNSON DO PA is a primary care clinic center in Corpus Christi, TX. PEGGY JOHNSON DO PA NPI is 1497824767. The provider is registered as an organization entity type.

The provider's business location address is:

5801 PATTON STREET
SUITE 100
CORPUS CHRISTI, TX
ZIP 78414-458
Phone: (361) 883-9688
Fax: (361) 992-3458

The provider's authorized official is Peggy Arlene Johnson .
The authorized official title is Physician and has the following contact phone number (361) 883-9688.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 7/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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