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Individual

DR. NIA ERMYN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6720 BERTNER ST, MC 4-217, HOUSTON, TX 77030-2604
(832) 355-3757
Mailing address
6720 BERTNER ST, MC 4-217, HOUSTON, TX 77030-2604
(832) 355-3757

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M9385
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
198932901
TX
Enumeration date
06/24/2008
Last updated
05/18/2009
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