Karen Johnson
Individual provider Active NPI Other Technician · Groesbeck, TX
NPI 1700139136 · NPPES record last updated Oct 23, 2012
Key facts
- NPI
- 1700139136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 204 W Trinity St
Groesbeck, TX 76642-1324 - Phone
- (254) 729-3740
- Fax
- (254) 729-8760
- NPI assigned
- Oct 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
204 W Trinity St
Groesbeck, TX 76642-1324
Mailing address
PO Box 131
Groesbeck, TX 76642-0131
Phone (254) 729-3740
Other providers in Groesbeck, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.