Organization
JOHNSON & HAVENER MEDICAL SERVICES, PA
Active
Other names
Family Health Center of Mission
Organization subpart
No
Provider details
NPI number
Authorized official
JERE M JOHNSON MD (PRESIDENT)
(956) 584-3353
Entity
Organization
Contact information
Practice address
1920 E GRIFFIN PKWY, MISSION, TX 78572-3106
(956) 584-3353
(956) 584-3253
Mailing address
2421 LIVE OAK ST, MISSION, TX 78574-3303
(602) 885-5094
(956) 584-3253
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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