Johnny Staton, LSA

NPI 1922530591 · on the registry since 2017 · sole proprietor

Practice

Address: 1208 Paintbrush St
Mesquite, TX 75149
Phone: (214) 227-2457
Fax: (214) 764-0880
Organisation at this address: Preferred Surgical Associates Of Texas
Inferred from a shared address, not stated in the registry.

Additional practice sites

445 E Fm 1382, Cedar Hill, TX

Registry record

Primary taxonomy: 363AS0400X
363AS0400X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-04-25

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