Individual
SHANITRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4426 TAREYTON LN, HOUSTON, TX 77047-1838
(713) 806-7461
Mailing address
17350 STATE HIGHWAY 249 STE 220, HOUSTON, TX 77064-1132
(800) 982-6976
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
35536067
TX
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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