Provider Demographics
NPI:1407027006
Name:JOHNSON, ARFRANCES (RD)
Entity Type:Individual
Prefix:
First Name:ARFRANCES
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5524 CHARLOTT ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76112-2925
Mailing Address - Country:US
Mailing Address - Phone:817-451-7858
Mailing Address - Fax:817-451-0989
Practice Address - Street 1:5524 CHARLOTT ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76112-2925
Practice Address - Country:US
Practice Address - Phone:817-451-7858
Practice Address - Fax:817-451-0989
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-22
Last Update Date:2008-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT02493133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered