Individual
MISS TABATHA C JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1730 B F TERRY BLVD STE 302, ROSENBERG, TX 77471-5535
(281) 633-0148
(281) 633-2298
Mailing address
1730 B F TERRY BLVD STE 302, ROSENBERG, TX 77471-5535
(832) 272-0201
(281) 633-2298
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP130052
TX
Other
Enumeration date
01/19/2016
Last updated
07/17/2025
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