Individual
MAVERICK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5303
(409) 747-1883
(409) 747-8579
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5303
(409) 747-1883
(409) 747-8579
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
BP10094184
TX
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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