Individual
BENNETT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23440 CINCO RANCH BLVD, KATY, TX 77494-2881
(281) 237-5293
Mailing address
23440 CINCO RANCH BLVD, KATY, TX 77494-2881
(281) 237-5293
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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