Marianne Roxie Johnson

NPI #1053981365 in Austin, Texas

Provider Information

NPI Number: 1053981365
Entity Type: Individual
Name: Marianne Roxie Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Jun 29, 2021
Last Updated: Sep 14, 2021

Practice Location

Address: 4310 JAMES CASEY ST STE 4A
City: Austin
State: Texas
ZIP Code: 78745-1120
Phone: (512) 448-4588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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