Raymond Louis Johnson, IDC

NPI #1871787614 in Ingleside, Texas

Provider Information

NPI Number
1871787614
Entity Type
Individual
Name
Raymond Louis Johnson, IDC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
Sep 5, 2007
Last Updated
Sep 5, 2007

Practice Location

Address
327 CORAL SEA RD
Address 2
SUITE 165
State
Texas
ZIP Code
78362-5055
Phone
(361) 776-1374

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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