Organization
SUPPLEMENTAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY TERESA JOHNSON BS (PHYSICAL THERAPIST ASSISTANT)
(832) 878-1522
Entity
Organization
Contact information
Practice address
4620 N BRAESWOOD BLVD APT 52, HOUSTON, TX 77096-2847
(832) 878-1522
(832) 516-8063
Mailing address
4620 N BRAESWOOD BLVD APT 52, HOUSTON, TX 77096-2847
(832) 878-1522
(832) 516-8063
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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