DR. Mallory Jayne Johnson, OD

NPI #1306677059 in Fort Cavazos, Texas

Provider Information

NPI Number: 1306677059
Entity Type: Individual
Name: DR. Mallory Jayne Johnson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 13, 2024
Last Updated: Aug 13, 2024

Practice Location

Address: 590 MEDICAL CENTER RD
Address 2: BLDG 36065
City: Fort Cavazos
State: Texas
ZIP Code: 76544
Phone: (254) 288-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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