Mary Marvin Johnson,md,pa,dba

NPI #1356443808 in Austin, Texas

Provider Information

NPI Number: 1356443808
Entity Type: Organization
Organization Name: Mary Marvin Johnson,md,pa,dba
Primary Specialty: Pediatrics
Enumeration Date: Sep 4, 2006
Last Updated: May 22, 2012

Practice Location

Address: 4700 SETON CENTER PKWY
Address 2: #125
City: Austin
State: Texas
ZIP Code: 78759-5295
Phone: (512) 338-8500

Authorized Official

Name: DR. MARY JOHNSON, M.D.
Title: M.D.,P.A.,PRESIDENT
Phone: (512) 338-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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