Individual
MYRA ANNETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5103 LANGLEY RD, HOUSTON, TX 77016-2917
(713) 633-7444
Mailing address
6810 SANDY OAKS DR, HOUSTON, TX 77050-3842
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
533711
TX
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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