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Individual

MR. RUPERT E JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.N. B.ED

Contact information

Practice address
4800 SUGAR GROVE BLVD, STE. 290, STAFFORD, TX 77477-2635
(281) 207-5338
(281) 207-5339
Mailing address
10101 SOUTHWEST FWY, STE. 400, HOUSTON, TX 77074-1126
(281) 207-5338
(281) 207-5339

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0074527
TX

Other

Enumeration date
11/02/2006
Last updated
03/05/2008
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