Mr. Jackie Glen Johnson
Mr. Jackie Glen Johnson is a Case Management Agency in Midlothian, Texas. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
434 Ashlawn DrMidlothian, TX 76065-5612
Phone: (817) 609-5474
Fax: (469) 672-6069
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Specialties & licences
| Case Management Agency (primary) | Taxonomy 251B00000X |
|---|
Record details
| NPI number | 1871130112 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 5, 2019 |
| Last updated in NPPES | December 5, 2019 |
| Mailing address | 434 Ashlawn Dr, Midlothian, TX 76065-5612 |
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434 Ashlawn Dr, Midlothian, TX 76065-5612 · (817) 609-5474