Individual ProviderChristopher Harrell JohnsonLicensed Vocational NurseNursing Service ProvidersPractice Address3001 Buddie St, Tyler, TX 75701-0605(903) 245-8952PECOS EnrollmentBased on the most recent information from CMS, provider Christopher Harrell Johnson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:46 AM.Profile DetailsProvider ID1568936227Provider TypeIndividualFull NameJohnson, Christopher HarrellGenderMaleSole ProprietorNoEnumeration Date1/16/2019Last Updated1/16/2019Contact InformationPractice LocationPractice Address3001 Buddie St, Tyler, TX 75701-0605Phone(903) 245-8952FaxUnlisted FaxMailing LocationMailing Address3001 Buddie St, Tyler, TX 75701-0605PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164X00000XPrimaryDescriptionLicensed Vocational NurseNursing Service ProvidersLicense327290Texas