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Individual

DR. KASSAUNDRA LEE JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
505 J DAVIS ARMISTEAD BUILDING, 4901 CALHOUN, HOUSTON, TX 77204-2020
(713) 743-2020
(713) 743-0963
Mailing address
5526 GRAPE ST, HOUSTON, TX 77096-1102
(713) 339-0175

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7971TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112409104
TX
Enumeration date
06/19/2012
Last updated
03/18/2014
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