Individual
MRS. DIANA MAHANNAH-JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7428 PARK PLACE BLVD, HOUSTON, TX 77087-4442
(713) 643-5858
(713) 643-2967
Mailing address
7428 PARK PLACE BLVD, HOUSTON, TX 77087-4442
(713) 643-5858
(713) 643-2967
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
76-1067155
TX
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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