Individual
TYCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7007 NORTH FWY STE 400, HOUSTON, TX 77076-1330
(713) 814-4717
Mailing address
79 CANDLE PINE PL, THE WOODLANDS, TX 77381-6437
(832) 585-2946
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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