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Individual

MRS. CATHY A JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3998 GULFWAY DR, PORT ARTHUR, TX 77642-2864
(409) 985-2674
(409) 985-7683
Mailing address
4403 TRAMMEL FRESNO RD, MISSOURI CITY, TX 77459-7038
(409) 985-2674
(409) 985-7683

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
05/15/2007
Last updated
07/09/2007
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