Organization
ARCHANGEL MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL KAREN JOHNSON MD (MEDICAL DIRECTOR)
(832) 387-6000
Entity
Organization
Contact information
Practice address
6630 HORNWOOD DR, HOUSTON, TX 77074-5010
(832) 378-6000
(832) 648-4626
Mailing address
6630 HORNWOOD DR, HOUSTON, TX 77074-5010
(832) 387-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
353328301
—
TX
Enumeration date
10/27/2014
Last updated
03/17/2018
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