ANITRA JOHNSON MD PA NPI 1649457490

NPI Information

ANITRA JOHNSON MD PA is a specialist in Houston, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ANITRA JOHNSON MD PA NPI is 1649457490. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2060 SPACE PARK DR
SUITE 208
HOUSTON, TX
ZIP 77058-600
Phone: (281) 333-3247
Fax: (281) 333-9358

The provider's authorized official is Anitra Johnson .
The authorized official title is Md Owner and has the following contact phone number (281) 333-3247.

The enumeration date for this NPI number is 1/23/2008 and was last updated on 2/5/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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