Most Relevant Information
Provider Data
| NPI Number: | 1003597261 |
| Provider Name: | DEMI JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 120176 |
Most Important Dates
| Enumeration Date: | 07/28/2023 |
| Last Updated: | 07/28/2023 |
Provider Practice Location
8961 TESORO DR
SAN ANTONIO
TX
782176209
Practice Location Phone/Fax
| Phone: | 2104070000 |
| Fax: |
Provider Mailing Location
6079 CRAB ORCH
SAN ANTONIO
TX
782402227
Provider Mailing Phone/Fax
| Phone: | 4807687769 |
| Fax: |