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Individual

ANTHONY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
6410 FANNIN ST STE 210, HOUSTON, TX 77030-3000
(832) 325-7288
(713) 383-1464
Mailing address
6410 FANNIN ST STE 700, HOUSTON, TX 77030-5205
(832) 325-7288
(713) 383-1464

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
M9384
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
183797301
TX
Enumeration date
01/04/2006
Last updated
09/20/2012
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