Provider Demographics
NPI:1326677295
Name:JOHNSON, BRITTNEY (CPT)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 E STAN SCHLUETER LOOP STE E
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-8300
Mailing Address - Country:US
Mailing Address - Phone:254-833-5126
Mailing Address - Fax:
Practice Address - Street 1:4200 E STAN SCHLUETER LOOP STE E
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-8300
Practice Address - Country:US
Practice Address - Phone:254-833-5126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-03
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE2F8R8T7246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy