Individual
DR. MARK ALAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MEDICAL CENTER BLVD, STE 100, CONROE, TX 77304-2808
(936) 271-0665
(844) 855-6799
Mailing address
15713 LAKEWAY DR, WILLIS, TX 77318-3181
(936) 271-0665
(844) 855-6799
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J9115
TX
Other
Enumeration date
07/25/2006
Last updated
11/22/2022
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