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Derrick Johnston
NPI 1669182457 · on the registry since 2022
Practice
- Address
- 2513 Ellis Ct
Plano, TX 75075 - Phone
- (217) 801-3581
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas