Individual
TAKEIYAH ELLYSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9702 N SAM HOUSTON PKWY E, HUMBLE, TX 77396-4528
(256) 655-0662
Mailing address
9702 N SAM HOUSTON PKWY E, HUMBLE, TX 77396-4528
(256) 655-0662
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
000000
TX
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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