Johnson, Shakira A.

Johnson, Shakira A. is an individual health care provider with primary practice located at 2801 Lemmon Ave Ste 200 , Dallas TX 75204-2201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Johnson, Shakira A. can be contacted via phone (214) 266-1600.

Contact Information

Primary practice address
2801 Lemmon Ave Ste 200 Dallas TX 75204-2201
Phone: (214) 266-1600
Fax: (214) 266-1790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA03607 Texas

Profile Details

NPI number 1932109311
LBN Legal business name Johnson, Shakira A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Mar 15th, 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 1932109311 NPPES
Texas Other 8N7735 BLUE CROSS BLUE SHIELD
Texas MEDICAID 179551003 BLUE CROSS BLUE SHIELD
Texas MEDICAID 179551001 BLUE CROSS BLUE SHIELD
Texas MEDICAID 179551002 BLUE CROSS BLUE SHIELD

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