Individual
DR. JENNIFER LAVETTE JOHNSON-CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1315 ST JOSEPH PKWY, SUITE 140, HOUSTON, TX 77002-8233
(713) 520-8963
(713) 523-6941
Mailing address
1315 ST JOSEPH PKWY, SUITE 140, HOUSTON, TX 77002-8233
(713) 520-8963
(713) 523-6941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K5571
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1571804-03
—
TX
Enumeration date
06/22/2005
Last updated
06/28/2022
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