Individual
CLINT WESTON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9305 PINECROFT DR STE 400, THE WOODLANDS, TX 77380-3482
(713) 486-8800
(281) 367-1323
Mailing address
6400 FANNIN ST STE 1700, HOUSTON, TX 77030-1526
(713) 486-7500
(713) 512-2234
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
N6392
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218709803
—
TX
01
—
8DJ311
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/14/2007
Last updated
10/30/2018
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