Provider Demographics
NPI:1871641423
Name:GIPLE-JOHNSON, FRANCISCA
Entity type:Individual
Prefix:DR
First Name:FRANCISCA
Middle Name:
Last Name:GIPLE-JOHNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1218 SW MILITARY DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-1535
Mailing Address - Country:US
Mailing Address - Phone:210-928-2814
Mailing Address - Fax:210-928-2364
Practice Address - Street 1:401 E WHITESTONE BLVD
Practice Address - Street 2:SUITE C-105
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-9051
Practice Address - Country:US
Practice Address - Phone:512-260-1238
Practice Address - Fax:512-260-1238
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI52721223G0001X
TX242001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice