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KEVIN J JOHNSON NPI 1700031762


NPI Information

NPI: 1700031762
Provider Name: KEVIN J JOHNSON

Doing Business As: CULLEN MEDICAL CENTER

Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
12805 CULLEN BLVD.
D
HOUSTON, TX
ZIP 77047
Phone: (713) 738-6955
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KEVIN J JOHNSON is a prescribing (medical) psychologist in Houston, TX. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. KEVIN J JOHNSON NPI is 1700031762. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cullen Medical Center.

The provider's business location address is:

12805 CULLEN BLVD.
D
HOUSTON, TX
ZIP 77047
Phone: (713) 738-6955

The provider's authorized official is Kevin Jerome Johnson .
The authorized official title is Owner and has the following contact phone number (713) 738-6955.

The enumeration date for this NPI number is 11/18/2008 and was last updated on 7/10/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TP0016XPsychologistPrescribing (Medical)H0554TEXASYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERTEXASEIN
2E79322MEDICARE UPINTEXAS
30A3466MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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