Johnson, Maria Suzanne

Johnson, Maria Suzanne is an individual health care provider with primary practice located at 333 N Santa Rosa St , San Antonio TX 78207-3108. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Johnson, Maria Suzanne can be contacted via phone (210) 704-2190.

Contact Information

Primary practice address
333 N Santa Rosa St San Antonio TX 78207-3108
Phone: (210) 704-2190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2004009983 Missouri
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X N0774 Texas

Profile Details

NPI number 1144270786
LBN Legal business name Johnson, Maria Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Sep 19th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144270786 NPPES
Missouri MEDICAID 209128602

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