Organization
CRAIG D. JOHNSON, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG DAVID JOHNSON M.D. (OWNER)
(713) 791-1800
Entity
Organization
Contact information
Practice address
6560 FANNIN ST, SUITE 1625, HOUSTON, TX 77030-2761
(713) 791-1800
(713) 791-1502
Mailing address
6560 FANNIN ST, SUITE 1625, HOUSTON, TX 77030-2761
(713) 791-1800
(713) 791-1502
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D9191
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064999501
—
TX
Enumeration date
10/28/2010
Last updated
10/28/2010
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